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NIA NICHELLE ADA MEDLOCK
NPI 1194316877
Case Manager/Care Coordinator in Pasadena, CA

Active since January 27, 2021
691 E WASHINGTON BLVD, PASADENA, CA 91104(323) 963-0086 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2021, Jan 27, 2021 (2 updates tracked since 2021).

About Nia Nichelle Ada Medlock NPPES

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

NIA NICHELLE ADA MEDLOCK (NPI 1194316877) is an individual case manager/care coordinator provider in Pasadena, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1194316877
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameNIA NICHELLE ADA MEDLOCK
Location Address691 E WASHINGTON BLVDPasadena, CA 91104-5003
Mailing Address1351 E 51st St Apt 2Los Angeles, CA 90011-4852 · (323) 963-0086
Phone(323) 963-0086
Sole ProprietorYes
Enumeration DateJanuary 27, 2021
Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1194316877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
691 E WASHINGTON BLVD, Pasadena, CA 91104
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YESENIA GUTIERREZ
Day Training/Habilitation Specialist
691 E WASHINGTON BLVD
PASADENA, CA 91104
Los Angeles County (626) 797-9007
JOANN DERAS
Case Manager/Care Coordinator
691 E WASHINGTON BLVD
PASADENA, CA 91104
Los Angeles County (162) 634-8457
KRISTINE ESCOBAR
Day Training/Habilitation Specialist
691 E WASHINGTON BLVD
PASADENA, CA 91104
Los Angeles County (626) 797-9007
SAMUEL LOPEZ
Case Manager/Care Coordinator
691 E WASHINGTON BLVD
PASADENA, CA 91104
Los Angeles County (626) 842-7560
KEITH JIMMY POWELL
Case Manager/Care Coordinator
691 E WASHINGTON BLVD
PASADENA, CA 91104
Los Angeles County (626) 698-9622
JACKSON WANG
Day Training/Habilitation Specialist
691 E WASHINGTON BLVD
PASADENA, CA 91104
Los Angeles County (626) 774-5230
MRS. ELICIA LANEAL ARNOLD HOUSING SPECIALIST
Day Training/Habilitation Specialist
691 E WASHINGTON BLVD
PASADENA, CA 91104
Los Angeles County (626) 774-5230
PAULO CASTRO
Case Manager/Care Coordinator
691 E WASHINGTON BLVD
PASADENA, CA 91104
Los Angeles County (626) 861-4736

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 Nia Medlock's NPI number?

The NPI number for Nia Medlock is 1194316877. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Nia Medlock located?

Nia Medlock practices at 691 E Washington Blvd, Pasadena, CA 91104. The listed phone number is (323) 963-0086.

What is Nia Medlock's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Nia Medlock was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.