Medvidi Health PC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

MEDVIDI HEALTH PC

Practice address

1884 Market St
San Francisco, CA 94102-6227

Phone

(415) 554-0171

Fax

(415) 449-3540

NPI assigned

Oct 28, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ed J Ortiz

Title

Operations Manager

Phone

(415) 910-9362

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1225792898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026227",
            "telephone_number": "415-554-0171",
            "fax_number": "415-449-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026227",
            "telephone_number": "415-554-0171",
            "fax_number": "415-449-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVIDI HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "415-910-9362",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295846822",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205923216",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457896128",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Rose Medrano
• Galileo A Medrano, LCSW
• Rocio Susana Medrano
• Medsam Transportation
• Melissa Morgan Medvedev, MD, PHD, MSC
• Dolores Josephine Meehan, NP
• William Meehan, PH.D.
• Duke Meek
• Kristie Meek
• Rachel Frankel Meek, DO MPH

• Prescribing (Medical) Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Prescribing (Medical) Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.