Active NPI
Cynthia Yolanda Medina
- Certified Registered Nurse Anesthetist
- Ceres, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 152813
- Practice address
- 1708 Louisville CT
Ceres, CA 95307-1860 - Phone
- (209) 707-6996
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95167674 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 152813 | CA | Primary |
Addresses
Primary practice location
1708 Louisville CT
Ceres, CA 95307-1860
Mailing address
1708 Louisville CT
Ceres, CA 95307-1860
Phone (209) 707-6996
Other practice location 1
20 E River Park Pl W
Fresno, CA 93720-1551
Phone (559) 256-4950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 E Roseville Pkwy
Suite 100
Roseville, CA 95661-3080
Phone (916) 677-2488
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152813 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients |
Locations
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488
2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Doctors Hospital of Manteca
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
dba Doctors Medical Center of Modesto
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
dba Emanuel Medical Center
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1194591248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 LOUISVILLE CT",
"city": "CERES",
"state": "CA",
"postal_code": "953071860",
"telephone_number": "209-707-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 LOUISVILLE CT",
"city": "CERES",
"state": "CA",
"postal_code": "953071860",
"telephone_number": "209-707-6996"
}
],
"practiceLocations": [
{
"address_1": "20 E River Park Pl W",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937201551",
"country_code": "US",
"telephone_number": "559-256-4950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "CYNTHIA",
"middle_name": "YOLANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95167674",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "152813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.