1. Home
  2. Directory
  3. California
  4. San Mateo
  5. Counselor
  6. NPI Profile

JOHN MICHAEL MEDINA JR.
NPI 1043910730
Counselor - Addiction (Substance Use Disorder) in San Mateo, CA

Active since March 09, 2023
2251 PALM AVE, SAN MATEO, CA 94403(650) 513-6500 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 21, 2025, Mar 9, 2023 (2 updates tracked since 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
Open in Google Maps ↗

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.

MS. ABBY LUCE
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6503
MILIKINI MEL MILIKINI
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
MICHAEL WAYNE MCCARTY
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
ANITA M ZERTUCHE
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
MR. SOLOMON TABB JR.
Behavior Analyst
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6504
TOBIAS SCOTT WHIPPLE
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
MARICELA CALVILLO
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE, 2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6503
WILLIAM LITTLE
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 389-4346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Medina's NPI number?

The NPI number for John Medina is 1043910730. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is John Medina located?

John Medina practices at 2251 Palm Ave, San Mateo, CA 94403. The listed phone number is (650) 513-6500.

What is John Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for John Medina was last updated on February 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.