Active NPI
Tania Medina, M.D.
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1407983372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A76697
- Practice address
- 123 S Alvarado St
Los Angeles, CA 90057-2201 - Phone
- (323) 987-1413
- Fax
- (323) 987-1400
- NPI assigned
- Feb 27, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A76697 | CA | Primary |
Addresses
Primary practice location
123 S Alvarado St
Los Angeles, CA 90057-2201
Mailing address
123 S Alvarado St
Los Angeles, CA 90057-2201
Phone (323) 987-1413
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1407983372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572201",
"telephone_number": "323-987-1413",
"fax_number": "323-987-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572201",
"telephone_number": "323-987-1413",
"fax_number": "323-987-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "TANIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A76697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.