Active NPI
Hugo Medina, DMS
- Diagnostic Ultrasound Physician
- Redlands, CA
National Provider Identifier
1841793957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 96261
- Practice address
- 414 Tennessee St Ste XX
Redlands, CA 92373-8163 - Phone
- (909) 570-7175
- NPI assigned
- Mar 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 96261 | CA | Primary |
Addresses
Primary practice location
414 Tennessee St Ste XX
Redlands, CA 92373-8163
Mailing address
414 Tennessee St Ste XX
Redlands, CA 92373-8163
Phone (909) 570-7175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96261 | CA | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1841793957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 TENNESSEE ST STE XX",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738163",
"telephone_number": "909-570-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 TENNESSEE ST STE XX",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738163",
"telephone_number": "909-570-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "HUGO",
"credential": "DMS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "96261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.