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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MIRA MEDAN RN
NPI 1336118074
Registered Nurse in San Francisco, CA

Active since March 15, 2006
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY, SAN FRANCISCO, CA 94132(415) 338-1351(415) 338-6834 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mira Medan Rn NPPES

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

MIRA MEDAN RN (NPI 1336118074) is an individual registered nurse in San Francisco, California, licensed in California (435922) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1336118074
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMIRA MEDANCredential: RN
Location Address1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITYSan Francisco, CA 94132-4200
Mailing Address1600 Holloway Ave, Student Health Services San Francisco State UniversitySan Francisco, CA 94132-4200 · (415) 338-1351 · Fax (415) 338-6834
Phone(415) 338-1351
Fax(415) 338-6834
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1336118074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 435922
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
1600 HOLLOWAY AVE, San Francisco, CA 94132
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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.

BARBARA ANNE COMMINS RN
Registered Nurse
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
SAN FRANCISCO, CA 94132
San Francisco County (415) 338-1351
MAYA PATEL RHT
Radiologic Technologist
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
SAN FRANCISCO, CA 94132
San Francisco County (415) 338-1351
DR. JACLYN WOLF PH.D.
Counselor (Mental Health)
1600 HOLLOWAY AVE
SAN FRANCISCO, CA 94132
San Francisco County (415) 338-2167
OFFALYN V SAMATRA
Pharmacy Technician
1600 HOLLOWAY AVE
SAN FRANCISCO, CA 94132
San Francisco County (415) 338-1710
GLENNA PYO LEE NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
1600 HOLLOWAY AVE
SAN FRANCISCO, CA 94132
San Francisco County (510) 326-6694
JEFFERY MCCURTAIN ATHTRAINER
Specialist/Technologist (Athletic Trainer)
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
SAN FRANCISCO, CA 94132
San Francisco County (415) 338-1351
STEPHANIE TUNG MA, CCC-SLP
Speech-Language Pathologist
1600 HOLLOWAY AVE, BURK HALL 114
SAN FRANCISCO, CA 94132
San Francisco County (415) 338-1001
LIEN ANISE HO PHARMD
Pharmacist
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
SAN FRANCISCO, CA 94132
San Francisco County (415) 338-1351

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 Mira Medan's NPI number?

The NPI number for Mira Medan is 1336118074. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Mira Medan located?

Mira Medan practices at 1600 Holloway Ave Student Health Services San Francisco State University, San Francisco, CA 94132. The listed phone number is (415) 338-1351.

What is Mira Medan's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Mira Medan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.