Active NPI
Belinda Medrano, FNP
- Women's Health Nurse Practitioner
- Modesto, CA
National Provider Identifier
1568430536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 358220
- Practice address
- 1510 Florida Ave
Suite B
Modesto, CA 95350-4437 - Phone
- (209) 574-1365
- Fax
- (209) 574-1372
- NPI assigned
- Mar 8, 2006
- Last updated
- Jul 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 358220 | CA | Primary |
Addresses
Primary practice location
1510 Florida Ave
Suite B
Modesto, CA 95350-4437
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 383-1848
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5565 | Other | CA | NP LICENSE |
| 34561 | Other | CA | PUBLIC HEALTH NURSE |
| 358220 | Other | CA | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1700282175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1568430536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953416805",
"telephone_number": "209-383-1848",
"fax_number": "209-383-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 FLORIDA AVE",
"address_2": "SUITE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504437",
"telephone_number": "209-574-1365",
"fax_number": "209-574-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "BELINDA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "358220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "5565",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC HEALTH NURSE",
"identifier": "34561",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "358220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.