Cristiaan Geronimo Medina, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95019835 Issued in CA

Practice address

4100 Central Ave Ste 201
Riverside, CA 92506-2930

Phone

(951) 371-6600

NPI assigned

Jan 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: cmedina1060784@direct.llu.edu
• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

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.

• California Neurointerventional Surgeons, Inc

  • Vascular & Interventional Radiology Physician
  • Riverside, CA
  • NPI 1417315300
  Medicare reassignment NPD
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1023122967
  Medicare reassignment NPD
• Western Institute of Critical Care Medicine, Inc

  • Critical Care Medicine (Anesthesiology) Physician
  • Corona, CA
  • NPI 1154819126
  Medicare reassignment NPD
• Singh MD a Professional Medical

  dba Seva Medical Group

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1336971514
  Medicare reassignment
• California PHS PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1649932781

  Nurse Practitioner

  NPD
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Corona, CA
  • NPI 1205940145
  NPD
• County of Riverside

  • Clinical Medical Laboratory
  • Riverside, CA
  • NPI 1952496010
  NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD
• Riverside Medical Clinic, Inc

  dba Riverside Medical Clinic

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1730180415
  NPD (past)

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1730831330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24801 PARADISE MEADOWS DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925842668",
            "telephone_number": "714-381-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062930",
            "telephone_number": "951-371-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CRISTIAAN",
        "middle_name": "GERONIMO",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariane Veronica Medina Villicana
• Aaron Medina, DPM
• Angel Ignacio Medina
• Angelica Medina
• Bianca Medina
• Cynthia Medina
• David Medina Jr.
• David O Medina, DDS
• Isela Medina, CHW
• Jenifer Medina

• Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.