Veronica Medina, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95001683 Issued in CA

Practice address

501 N. Crescent Way
Health Services
Anaheim, CA 92803-1716

Phone

(714) 309-7864

NPI assigned

Nov 13, 2014

Last updated

Dec 22, 2016By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anaheim Union High School District

  • Point of Service
  • Anaheim, CA
  • NPI 1033964531
  NPD (past)
• Anaheim Union High School District

  • Local Education Agency (LEA)
  • Anaheim, CA
  • NPI 1144368093
  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1457757825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N. CRESCENT WAY",
            "address_2": "HEALTH SERVICES",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928031716",
            "telephone_number": "714-309-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N. CRESCENT WAY",
            "address_2": "HEALTH SERVICES",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928031716",
            "telephone_number": "714-309-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Medina
• Ruth Medina, B.S.
• Steve Medina
• Theissy Sarahed Medina
• Tiffany Medina
• Yuna Han Medina, MD
• Medirush LLC
• Mediverse Medical Network
• Medphaco Inc (Health First Pharmacy)
• Medplus DME

• Family Nurse Practitioner in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.