David Medina

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

Practice address

721 8TH St
Bakersfield, CA 93304-2224

Phone

(661) 326-9700

NPI assigned

Nov 20, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Crestwood Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Bakersfield, CA
  • NPI 1124479845
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1750156659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 8TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 8TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042224",
            "telephone_number": "661-326-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaisela Medina Ordaz
• Lizbeth Medina Quiroz
• Ivan Alejandro Medina-Martinez, DDS
• Alfred Medina, R1215080915
• Benjamin Michael Medina
• Edward Martin Medina
• Erica Christina Medina
• Esmeralda Limon Medina, LCSW
• Jacob Medina
• Janette Yudarlin Medina, LVN

• Licensed Psychiatric Technician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.