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JACQUELINE MEDINA
NPI 1104671205
Day Training/Habilitation Specialist in Sylmar, CA

Active since April 22, 2024
14119 BUCHER AVE, SYLMAR, CA 91342(818) 290-5307 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2025, Apr 22, 2024 (2 updates tracked since 2024).

About Jacqueline Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MEDINA (NPI 1104671205) is an individual day training/habilitation specialist in Sylmar, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1104671205
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameJACQUELINE MEDINA
Location Address14119 BUCHER AVESylmar, CA 91342-1442
Mailing Address14119 Bucher AveSylmar, CA 91342-1442 · (818) 290-5307
Phone(818) 290-5307
Sole ProprietorNo
Enumeration DateApril 22, 2024
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1104671205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
14119 BUCHER AVE, Sylmar, CA 91342
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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.

NANCY RAMIREZ
Day Training/Habilitation Specialist
14119 BUCHER AVE
SYLMAR, CA 91342
Los Angeles County (818) 290-5307
GENTIANE TC TOPP
Marriage & Family Therapist
14119 BUCHER AVE
SYLMAR, CA 91342
Los Angeles County (818) 290-5307
VALLEY STAR BEHAVIORAL HEALTH, INC.
Community/Behavioral Health
14119 BUCHER AVE
SYLMAR, CA 91342
Los Angeles County (310) 221-6336
MS. TYAYSHA WILKERSON
Community Health Worker
14119 BUCHER AVE
SYLMAR, CA 91342
Los Angeles County (310) 221-6336
RIA GABRIEL
Case Manager/Care Coordinator
14119 BUCHER AVE
SYLMAR, CA 91342
Los Angeles County (310) 221-6336
ALEXA K NAVARRO SANCHEZ
Day Training/Habilitation Specialist
14119 BUCHER AVE
SYLMAR, CA 91342
Los Angeles County (310) 221-6336
BRIANNA MELISSA FELIX
Licensed Vocational Nurse
14119 BUCHER AVE
SYLMAR, CA 91342
Los Angeles County (818) 290-5307
KYLENE WOLFSTEIN
Social Worker
14119 BUCHER AVE
SYLMAR, CA 91342
Los Angeles County (310) 221-6336

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 Jacqueline Medina's NPI number?

The NPI number for Jacqueline Medina is 1104671205. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Jacqueline Medina located?

Jacqueline Medina practices at 14119 Bucher Ave, Sylmar, CA 91342. The listed phone number is (818) 290-5307.

What is Jacqueline Medina's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Medina was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.