Individual provider Active NPI

Hilda Yamel Medina, M.S.W, L.C.S.W.

  • Clinical Social Worker
  • Daly City, CA
National Provider Identifier
1629157110
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101909 Issued in CA
Practice address
380 90TH St
Daly City, CA 94015-1807
Phone
(650) 573-2630
NPI assigned
Nov 3, 2006
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101909 CA Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

380 90TH St
Daly City, CA 94015-1807

Mailing address

PO Box 7701
Fremont, CA 94537-7701
Phone (415) 409-8407

Other practice location 1

Fremont VA
39199 Liberty Street Bldg B
Fremont, CA 94538
Phone (510) 791-4001

Other practice location 2

1524 McHenry Ave
Suite 450
Modesto, CA 95350-4500
Phone (209) 557-6200

Other identifiers 1

IdentifierTypeStateIssuer
496866104MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930004414 CA Practitioner - Clinical Social Worker 0042716995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
County of San MateoGroup PAC ID 9032023171, 316 clinicians

Practice addresses (Care Compare)

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

802 Brewster Ave
Redwood City, CA 94063-1510
Phone (650) 573-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101909CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
County of San Mateo CurrentSince Jun 13, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
County of San Mateo Current Accepting new patients
San Mateo County Clinical CurrentSince Jun 13, 2025 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

375 89th St
Daly City, CA 94015
Phone (650) 301-8648

380 90th St
Daly City, CA 94015
Phone (650) 301-8600

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

39650 Liberty St
Ste 310
Fremont, CA 94538
Phone (510) 498-2890

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

2000 Alameda de las Pulgas
Ste 200
San Mateo, CA 94403
Phone (650) 372-8540

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1629157110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7701",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945377701",
            "telephone_number": "415-409-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 90TH ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151807",
            "telephone_number": "650-573-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Fremont VA",
            "address_2": "39199 Liberty Street Bldg B",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "94538",
            "country_code": "US",
            "telephone_number": "510-791-4001",
            "fax_number": "510-791-4036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 McHenry Ave",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504500",
            "country_code": "US",
            "telephone_number": "209-557-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "HILDA",
        "middle_name": "YAMEL",
        "name_prefix": "Ms.",
        "credential": "M.S.W, L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101909",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496866104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.