Alba Alejandra Medina, LMFT 113496

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113496 Issued in CA

Practice address

1350 3Rd St
La Verne, CA 91750-5201

Phone

(909) 596-5921

Fax

(909) 596-3954

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1629413539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 3RD ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505201",
            "telephone_number": "909-596-5921",
            "fax_number": "909-596-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 3RD ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505201",
            "telephone_number": "909-596-5921",
            "fax_number": "909-596-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ALBA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Ms.",
        "credential": "LMFT 113496",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "INTERN 71014",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Nicole McClure, DDS
• Julian McFadden, MKM LOGISTICS
• Michael McLaughlin
• Dawn A McNulty, PT
• Medical Diagnostic Laboratory LLC
• Meduvo RX, LLC
• Amber Meeks, COTA/L
• Ronica Sara Mehdizadeh, PA
• Jennifer Nicole Melendrez
• Chyna Mendoza

• Marriage & Family Therapist in La Verne, CA
• Providers in La Verne, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.