Active NPI
Jesus Miguel Medina
- Rehabilitation Counselor
- Oroville, CA
National Provider Identifier
1922169085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 2858 Olive Highway
Suites a B & C
Oroville, CA 95966 - Phone
- (530) 538-2158
- Fax
- (530) 533-7188
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
2858 Olive Highway
Suites a B & C
Oroville, CA 95966
Mailing address
404 Oak Street
#6
Chico, CA 95928
Phone (530) 345-6031
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922169085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 OAK STREET",
"address_2": "#6",
"city": "CHICO",
"state": "CA",
"postal_code": "95928",
"telephone_number": "530-345-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2858 OLIVE HIGHWAY",
"address_2": "SUITES A B & C",
"city": "OROVILLE",
"state": "CA",
"postal_code": "95966",
"telephone_number": "530-538-2158",
"fax_number": "530-533-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "JESUS",
"middle_name": "MIGUEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.