Active NPI
Rocio Medina, M.D.
- Internal Medicine Physician
- Woodlake, CA
National Provider Identifier
1235338948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A108181
- Practice address
- 180 E Antelope Ave
Woodlake, CA 93286-1506 - Phone
- (559) 564-1800
- Fax
- (559) 624-6590
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A108181 | CA | Primary |
Addresses
Primary practice location
180 E Antelope Ave
Woodlake, CA 93286-1506
Mailing address
410W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 564-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150811004783 | CA | Order and Referring Only - Internal Medicine | 6507054434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care District | Past | Accepting new patients | |
| Adventist Health Tulare | Past | Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
- rocio.medina.p1@direct.altura.nextgenshare.com
Organizations & group practices 3
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.
-
dba Tulare Regional Medical Center
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
dba Kaweah Health Exeter Clinic
- Rural Health Clinic/Center
- Exeter, CA
- NPI 1043272172
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1235338948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237",
"telephone_number": "559-564-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E ANTELOPE AVE",
"city": "WOODLAKE",
"state": "CA",
"postal_code": "932861506",
"telephone_number": "559-564-1800",
"fax_number": "559-624-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "ROCIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A108181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.