Active NPI
Luz Andrea Medina, BA
- Behavior Technician
- Irvine, CA
National Provider Identifier
1902471055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 18008 Sky Park Cir
Irvine, CA 92614-6433 - Phone
- (949) 474-1493
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
18008 Sky Park Cir
Irvine, CA 92614-6433
Mailing address
300 W Knepp Ave
Fullerton, CA 92832-2717
Phone (714) 618-8117
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Luzm@instepps.com | In STEPPS, inc |
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1902471055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W KNEPP AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322717",
"telephone_number": "714-618-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18008 SKY PARK CIR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146433",
"telephone_number": "949-474-1493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "LUZ",
"middle_name": "ANDREA",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Luzm@instepps.com",
"affiliation": "Y",
"affiliationName": "In STEPPS, inc",
"address_1": "18008 Sky Park Cir Ste 110",
"city": "Irvine",
"state": "CA",
"country_code": "US",
"postal_code": "926146434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.