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MARISSA MARIA MEDINA
NPI 1205512787
Student in an Organized Health Care Education/Training Program in Gilroy, CA

Active since June 27, 2023
290 IOOF AVE, GILROY, CA 95020(408) 846-2100 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Maria Medina NPPES

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

MARISSA MARIA MEDINA (NPI 1205512787) is an individual student in an organized health care education/training program in Gilroy, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1205512787
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA MARIA MEDINA
Location Address290 IOOF AVEGilroy, CA 95020-5204
Mailing Address290 Ioof AveGilroy, CA 95020-5204 · (408) 846-2100
Phone(408) 846-2100
Sole ProprietorNo
Enumeration DateJune 27, 2023
Last NPPES UpdateJuly 11, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1205512787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
290 IOOF AVE, Gilroy, CA 95020
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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.

YESENIA SALINAS
Case Manager/Care Coordinator
290 IOOF AVE
GILROY, CA 95020
Santa Clara County (408) 846-2148
ADRIANA PATRICIA OROZCO
Case Manager/Care Coordinator
290 IOOF AVE
GILROY, CA 95020
Santa Clara County (408) 500-9049
CRYSTAL LE
Marriage & Family Therapist
290 IOOF AVE
GILROY, CA 95020
Santa Clara County (408) 846-2100
MARTHA ELENA ACOSTA
Rehabilitation Practitioner
290 IOOF AVE
GILROY, CA 95020
Santa Clara County (408) 846-2113
MARTHA EILEEN FERGUSON
Case Manager/Care Coordinator
290 IOOF AVE
GILROY, CA 95020
Santa Clara County (408) 846-2474
MARTHA SUSANNA GUARDADO
Case Manager/Care Coordinator
290 IOOF AVE
GILROY, CA 95020
Santa Clara County (408) 846-2100
MARTHA CONCEPTA NJIE
Case Manager/Care Coordinator
290 IOOF AVE
GILROY, CA 95020
Santa Clara County (408) 846-2100
ADRIANA ANDRADE DIAZ
Rehabilitation Practitioner
290 IOOF AVE
GILROY, CA 95020
Santa Clara County (408) 846-2100

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 Marissa Medina's NPI number?

The NPI number for Marissa Medina is 1205512787. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Marissa Medina located?

Marissa Medina practices at 290 Ioof Ave, Gilroy, CA 95020. The listed phone number is (408) 846-2100.

What is Marissa Medina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marissa Medina was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.