Active NPI
Arlyn Patricia Medina Mena
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1932860863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18329
- Practice address
- 3340 Kemper St
San Diego, CA 92110-4906 - Phone
- (619) 523-8121
- NPI assigned
- Jan 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18329 | CA | Primary |
Addresses
Primary practice location
3340 Kemper St
San Diego, CA 92110-4906
Mailing address
3340 Kemper St
San Diego, CA 92110-4906
Phone (619) 523-8121
Other practice location 1
1274 Center Court Dr Ste 211
Covina, CA 91724-3668
Phone (626) 339-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373781 | Medicaid | CA |
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 |
|---|---|---|---|
| 18329 | CA | MD | Community Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1932860863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 KEMPER ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104906",
"telephone_number": "619-523-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 KEMPER ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104906",
"telephone_number": "619-523-8121"
}
],
"practiceLocations": [
{
"address_1": "1274 Center Court Dr Ste 211",
"address_purpose": "LOCATION",
"city": "Covina",
"state": "CA",
"postal_code": "917243668",
"country_code": "US",
"telephone_number": "626-339-4999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA MENA",
"first_name": "ARLYN",
"middle_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "18329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373781",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.