Individual provider Active NPI

Adrian Michael Medina, CNM

  • Advanced Practice Midwife
  • Fresno, CA
National Provider Identifier
1669929246
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236532 Issued in CA
Practice address
2471 E Fir Ave
Fresno, CA 93720-0536
Phone
(559) 881-6151
Fax
(559) 261-9324
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

305 E Ctr Ave
Visalia, CA 93291-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220321000486 CO Practitioner - Certified Nurse Midwife (CNM) 8820350820 Reassigns benefits to 1 organization
I20250806003916 CA Practitioner - Certified Nurse Midwife (CNM) 8820350820 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
236532CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Sep 18, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Current Accepting new patients
Community Health Partners CurrentSince Aug 25, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Mar 11, 2022 Accepting new patients
Family Healthcare Network Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Mar 11, 2022 Accepting new patients
Family Healthcare Network CurrentSince Sep 18, 2025 Accepting new patients
St. Mary'S Hospital and Medical Center, Inc. Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2471 E Fir Ave
Fresno, CA 93720
Phone (559) 261-9320

401 E School Ave
Visalia, CA 93291
Phone (559) 741-4356

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

610 25 Rd
Grand Junction, CO 81505
Phone (970) 298-9600

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 236532 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2471 E Fir Ave
Fresno, CA 93720-0536

Mailing address

PO Box 889442
Los Angeles, CA 90088-9442
Phone (559) 603-7389

Other practice location 1

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

Other practice location 2

401 E School Ave
Visalia, CA 93291-5032
Phone (559) 741-2670

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2025.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1669929246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889442",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900889442",
            "telephone_number": "559-603-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 E FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200536",
            "telephone_number": "559-881-6151",
            "fax_number": "559-261-9324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116800",
            "country_code": "US",
            "telephone_number": "559-324-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E School Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915032",
            "country_code": "US",
            "telephone_number": "559-741-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ADRIAN",
        "middle_name": "MICHAEL",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.