Kateline Medina, LICENSED

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

29995 Technology Dr Ste 103
Murrieta, CA 92563-2633

Phone

(951) 384-1661

Fax

(951) 823-5813

NPI assigned

Jan 26, 2017

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Loma Linda University School of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Family Therapy Center Corp

  dba The FAMILY THERAPY CENTER

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1851143879
  Medicare reassignment NPD Authorized official
• C.H.a.R.L.E.E. Family Care, Inc.

  • Voluntary or Charitable Agency
  • Murrieta, CA
  • NPI 1366773210
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1992242168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53573",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925174573",
            "telephone_number": "951-384-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29995 TECHNOLOGY DR STE 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632633",
            "telephone_number": "951-384-1661",
            "fax_number": "951-823-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "KATELINE",
        "credential": "LICENSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-Ped I D Incorporated
• Med-Ped I D Incorporated (Total Foot & Ankle Restoration & Preservation)
• Medical Laboratory Services Medical Group Inc
• Medical Laboratory Services Medical Group, Inc.
• Haley Medina
• Naomie Medina
• Alexa Marie Medjo, PA-C
• Meerweis Stanisai Dental Corporation
• Raza Mehdi, MD
• Ali Mehrabian, DDS

• Marriage & Family Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.