ADALBERTO MEDINA JR. - NPI 1306687819 - Nurse Practitioner in Santa Maria, CA

Q: 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.

Q: What is Adalberto Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Adalberto Medina was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306687819

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameADALBERTO MEDINA JR.

Location Address300 S STRATFORD AVESanta Maria, CA 93454-5903

Mailing Address300 S Stratford AveSanta Maria, CA 93454-5903 · (805) 739-3863 · Fax (805) 614-2035

Phone(805) 739-3863

Fax(805) 614-2035

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 6, 2024

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1306687819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95030886

300 S STRATFORD AVE, Santa Maria, CA 93454

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Secondary Practice Locations 3

Location 1850 Fair Oaks Ave Ste 100Arroyo Grande, CA 93420-3929 · Phone (805) 473-0700 · Fax (805) 473-5931

Location 21102 E Clark Ave Ste 120ASanta Maria, CA 93455-5175 · Phone (805) 332-8185 · Fax (805) 332-8186

Location 3877 Oak Park BlvdPismo Beach, CA 93449-3292 · Phone (805) 474-8450 · Fax (805) 474-8454

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.

PECOS PAC ID9335674829

PECOS Enrollment IDI20241120002992

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$108.26 typical visit price

range $20.60 – $151.20

Typical copayment $27.06 (range $5.15 – $37.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

KARAMITSOS & WILTCHIK, A MEDICAL CORP

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