Fix'D Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FIX'D INC.

Practice address

68 E 11TH St Ste 115
Tracy, CA 95376-4089

Phone

(209) 666-7178

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jaime Albert MedinaNPI 1437690799

Title

President / Ceo

Phone

(209) 207-9284

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime Medina

  • Driver
  • Tracy, CA
  • NPI 1437690799
  NPD (past) Authorized official

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1891348819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 E 11TH ST STE 115",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764089",
            "telephone_number": "209-666-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 E 11TH ST STE 115",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764089",
            "telephone_number": "209-666-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIX'D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "209-207-9284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Nelly Ferrusca Toledo
• Valentina Marie Fey-Haggard, ATC, CEIS
• Kaih Ayre Fields
• Firstsight Vision Services, Inc.
• Jennifer Marie Fischer, SLP
• Fix'D Wheels
• Christian Flores
• Kersteen Flores, FNP
• Loren Flores
• Maria Flores

• Mental Health Counselor in Tracy, CA
• Providers in Tracy, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.