Luz Medina, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A50266 Issued in CA

Practice address

99 S Market St
Wailuku, HI 96793-2200

Phone

(808) 249-8862

Fax

(808) 249-8870

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinica Monsignor Oscar a Romero

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1275629495
  Medicare reassignment NPD
• Bartz-Altadonna Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lancaster, CA
  • NPI 1811279763
  Medicare reassignment
• Clinica Monsignor Oscar a. Romero

  • Federally Qualified Health Center (FQHC)
  • Canoga Park, CA
  • NPI 1245966886
  NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1346252566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932200",
            "telephone_number": "808-249-8862",
            "fax_number": "808-249-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932200",
            "telephone_number": "808-249-8862",
            "fax_number": "808-249-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "LUZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A50266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD-14001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlee McNamara
• Kathleen Marianne McNamara, PH.D.
• Christopher McNeil, DDS
• Drew Meador, PHARMD
• Med Hawaii, Inc.
• Megacare LLC
• Megacare LLC
• Megacare LLC
• Megacare LLC
• Danae Meier, PT, DPT

• Obstetrics & Gynecology Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Obstetrics & Gynecology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.

Verify at the official NPI Registry.