JOSE DEMETRIO MEDINA
NPI 1184303828
Counselor in San Jose, CA

Active since July 11, 2023
1245 E SANTA CLARA ST, SAN JOSE, CA 95116(408) 294-0500 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2025, Aug 7, 2023, Jul 11, 2023 (3 updates tracked since 2023).

About Jose Demetrio Medina NPPES

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

JOSE DEMETRIO MEDINA (NPI 1184303828) is an individual counselor in San Jose, California, licensed in California (100080) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1184303828
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJOSE DEMETRIO MEDINA
Location Address1245 E SANTA CLARA STSan Jose, CA 95116-2337
Mailing Address1245 E Santa Clara StSan Jose, CA 95116-2337
Sole ProprietorNo
Enumeration DateJuly 11, 2023
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1184303828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in CA · 100080
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1245 E SANTA CLARA ST, San Jose, CA 95116

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.

Rehabilitation Practitioner
1245 E SANTA CLARA ST
SAN JOSE, CA 95116
Marriage & Family Therapist
1245 E SANTA CLARA ST
SAN JOSE, CA 95116
Marriage & Family Therapist
1245 E SANTA CLARA ST
SAN JOSE, CA 95116
Social Worker (Clinical)
1245 E SANTA CLARA ST
SAN JOSE, CA 95116
Counselor
1245 E SANTA CLARA ST
SAN JOSE, CA 95116
Community/Behavioral Health
1245 E SANTA CLARA ST
SAN JOSE, CA 95116
Case Manager/Care Coordinator
1245 E SANTA CLARA ST
SAN JOSE, CA 95116
Counselor
1245 E SANTA CLARA ST
SAN JOSE, CA 95116

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 Jose Medina's NPI number?

The NPI number for Jose Medina is 1184303828. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Jose Medina located?

Jose Medina practices at 1245 E Santa Clara St, San Jose, CA 95116. The listed phone number is (408) 294-0500.

What is Jose Medina's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jose Medina was last updated on May 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.