ADALBERTO MEDINA JR.
NPI 1306687819
Nurse Practitioner - Family in Santa Maria, CA
About Adalberto Medina Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADALBERTO MEDINA JR. (NPI 1306687819) is an individual family provider in Santa Maria, California, licensed in California (95030886) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Adalberto Medina Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA MARIA, CA 93455
SANTA MARIA, CA 93455
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 Adalberto Medina's NPI number?
The NPI number for Adalberto Medina is 1306687819. It was assigned to this individual provider in the NPPES registry on June 6, 2024.
Where is Adalberto Medina located?
Adalberto Medina practices at 1102 E Clark Ave Ste 120A, Santa Maria, CA 93455. The listed phone number is (805) 332-8185.
What is Adalberto Medina's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Adalberto Medina enrolled in Medicare?
Yes. Adalberto Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Adalberto Medina was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Adalberto Medina Jr. · NPI 1306687819
Family physician in Santa Maria, California. Individual provider, active in the CMS NPPES registry since June 6, 2024.
## Identity
- **NPI:** 1306687819 (Entity type: Individual)
- **Enumerated:** June 6, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95030886 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1102 E CLARK AVE STE 120A, Santa Maria, CA 93455-5175
- **Phone:** (805) 332-8185 · **Fax:** (805) 332-8186
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306687819) · Data from the CMS NPPES public registry.