Michael Medina

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-17-41598 Issued in CA

Practice address

36 Oak LN
Mountain View, CA 94040-2629

Phone

(650) 938-3600

NPI assigned

Nov 11, 2018

Sex

Male

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

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 and National Provider Directory roles.

• Therapeutic Learning Consultants, Inc.

  • Community/Behavioral Health Agency
  • Burlingame, CA
  • NPI 1710298500
  NPD (past)

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1487122164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 LUCRETIA AVE APT 208",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224217",
            "telephone_number": "408-710-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OAK LN",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402629",
            "telephone_number": "650-938-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-41598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Monitoring, P.C.
• Medical Support Los Angeles a Medical Corporation
• Karen Medina Arias
• Dominic Diego Medina
• Hector Medina, MD
• Thomas Mednick, MD
• Stephanie Meeks, L.AC.
• Meenal Mujumdar Physical Therapy Inc
• Megaspan Inc.
• Purav Mehta, PHARMD

• Behavior Technician in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2018; 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.