Active NPI
Natalie Medina, MD, Inc
- Clinic/Center
- National City, CA
National Provider Identifier
1386183382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A54817
- Legal business name
- NATALIE MEDINA, MD, INC
- Practice address
- 502 Euclid Ave
Suite 306
National City, CA 91950-2931 - Phone
- (619) 267-1168
- Fax
- (619) 267-6644
- NPI assigned
- Feb 23, 2017
- Last updated
- Feb 23, 2017
- Organization subpart
- Yes
- Parent organization
- NATALIE MEDINA, MD, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Natalie Jo Medina, M.D.
- Title
- President
- Phone
- (619) 995-0990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A54817 | CA | Primary |
Addresses
Primary practice location
502 Euclid Ave
Suite 306
National City, CA 91950-2931
Mailing address
PO Box 1404
Bonita, CA 91908-1404
Phone (619) 267-1168
Other names 1
- Natalie J. Medina, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Natalie Medina MD Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- National City, CA
- NPI 1578932893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1386183382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1404",
"city": "BONITA",
"state": "CA",
"postal_code": "919081404",
"telephone_number": "619-267-1168",
"fax_number": "619-267-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 EUCLID AVE",
"address_2": "SUITE 306",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502931",
"telephone_number": "619-267-1168",
"fax_number": "619-267-6644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATALIE MEDINA, MD, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATALIE MEDINA, MD, INC",
"enumeration_date": "2017-02-23",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-995-0990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A54817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Natalie J. Medina, MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.