Active NPI
Lesley Mediana
- Registered Nurse
- Sacramento, CA
National Provider Identifier
1265191894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95256104
- Practice address
- 4600 Broadway
Sacramento, CA 95820-1527 - Phone
- (916) 874-9670
- NPI assigned
- Dec 10, 2021
- Last updated
- Dec 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95256104 | CA | Primary |
Addresses
Primary practice location
4600 Broadway
Sacramento, CA 95820-1527
Mailing address
6605 Galloway Way
Elk Grove, CA 95758-6362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95256104 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1265191894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6605 GALLOWAY WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957586362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 BROADWAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201527",
"telephone_number": "916-874-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDIANA",
"first_name": "LESLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95256104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
- Lornalyn Medenilla
- Rachel Anne Meder, PT
- Medexpress Trans US
- Medgo Transit LLC
- Medi-Stop, Inc.
- Madalyn Mediano
- Medic Health LLC
- Medical Dermatology & Cosmetic Clinic of Northern California (University Skin Institute)
- Medical Health Providers
- Medical Insights Diagnostic Centers Concord Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.