John Medina, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16626 Issued in CA

Practice address

624 W Duarte Rd Ste 203
Arcadia, CA 91007-9262

Phone

(626) 446-8595

Fax

(626) 446-1031

NPI assigned

Sep 20, 2006

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528166014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD STE 203",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079262",
            "telephone_number": "626-446-8595",
            "fax_number": "626-446-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD STE 203",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079262",
            "telephone_number": "626-446-8595",
            "fax_number": "626-446-1031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1866 N Orange Grove Ave",
            "address_2": "Suite # 202",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673031",
            "country_code": "US",
            "telephone_number": "909-623-8796",
            "fax_number": "909-623-3076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1866 N Orange Grove Ave",
            "address_2": "Suite # 202",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673031",
            "country_code": "US",
            "telephone_number": "909-623-8796",
            "fax_number": "909-623-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medford Orthopaedic Medical Corporation
• Medhat N. Nahed, DDS, Ms, Inc
• Medical Imaging Partners
• Andrea Crystal Medina
• Gloria Medina
• Maria Medina
• Sarah Darlene Medina
• Silvia Medrano Vazquez
• Justin Luis Medrano
• Litzy Mejia Sanchez

• Physician Assistant in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.