JOHN MICHAEL MEDINA JR.
NPI 1043910730
Counselor - Addiction (Substance Use Disorder) in San Mateo, CA
Active since March 09, 2023
About John Michael Medina Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MICHAEL MEDINA JR. (NPI 1043910730) is an individual addiction (substance use disorder) provider in San Mateo, California, licensed in California (18877) and active in the NPI registry since March 2023.
NPPES Registry Identity
NPI1043910730
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN MICHAEL MEDINA JR.
Location Address2251 PALM AVESan Mateo, CA 94403-1814
Mailing Address2251 Palm AveSan Mateo, CA 94403-1814 · (506) 513-6500
Phone(650) 513-6500
Sole ProprietorNo
Enumeration DateMarch 9, 2023
Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1043910730 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 18877
2251 PALM AVE, San Mateo, CA 94403
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
SAN MATEO, CA 94403
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
SAN MATEO, CA 94403
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
SAN MATEO, CA 94403
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE, 2251 PALM AVE
SAN MATEO, CA 94403
SAN MATEO, CA 94403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043910730, enumerated as an "individual" on March 09, 2023.
The provider is located at 2251 PALM AVE SAN MATEO, CA 94403 and the phone number is (650) 513-6500.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
