Gina Martinez Medina, N.P

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

17626 Issued in CA

Practice address

50 Phelan Ave
San Francisco, CA 94112-1821

Phone

(415) 239-3110

NPI assigned

Mar 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1457523359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 SANFORD ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201513",
            "telephone_number": "925-363-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PHELAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121821",
            "telephone_number": "415-239-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "GINA",
        "middle_name": "MARTINEZ",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "17626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Medina Lemus
• Marylou Santos Medina-Bolus, LVN
• Annelis Medina
• Candice Castro Medina, FNP-C
• Darla Rae Medina
• Ingrid Veronica Medina
• Julia Medina
• Julian David Medina, MD
• Kristal A Medina
• Lauren Alexis Marcelino Medina, RN

• Primary Care Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.