Juan Ramon Medina Garcia

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126055 Issued in CA

Practice address

1111 W Tokay St Ste Ac
Lodi, CA 95240-3965

Phone

(925) 999-4119

NPI assigned

Mar 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1538745849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-999-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W TOKAY ST STE AC",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403965",
            "telephone_number": "925-999-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA GARCIA",
        "first_name": "JUAN",
        "middle_name": "RAMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126055",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna M McKeever, PHARMD., RPH
• Thomas Peter McKenzie, MD
• Travers J McLoughlin, MD
• Erlinda Landero McPherson, LICENSE NURSE
• Craig Means, ASW
• Mirella Medina
• Harry R Meeks Jr., AMFT
• Monica Mendiola
• Ana Beatriz Mendoza Bautista
• Regina Irma Mendoza

• Clinical Social Worker in Lodi, CA
• Providers in Lodi, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.