Alma M Medina

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

ALMA M MEDINA

Practice address

2076 Vestal CT
San Leandro, CA 94577-2328

Phone

(650) 455-2574

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Alma M Medina

Title

Supervisor

Phone

(650) 455-2574

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VESTAL HOUSE ICFDDH Doing business as

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730396128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 VESTAL CT",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772328",
            "telephone_number": "650-455-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 VESTAL CT",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772328",
            "telephone_number": "650-455-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMA M MEDINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "650-455-2574",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "55G396",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VESTAL HOUSE ICFDDH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lola Allen, DTM
• Alliant International University
• Alliant International University
• Brittany Nicole Allinger
• Tanya Renee Allums
• Leah Ramona Alman
• Suzan Almeida, RD
• Valia Almendarez
• Maria D Almendra Castillo
• Aria Alokozai, PA-C

• Intellectual Disabilities Intermediate Care Facility in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.