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MR. JAMES MEDELLIN JR. CADC 1
NPI 1356893622
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since November 02, 2016
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823(916) 395-3552 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2020, Aug 1, 2019, Jul 11, 2017 and 1 more (4 updates tracked since 2016).

About Mr. James Medellin Jr. Cadc 1 NPPES

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

MR. JAMES MEDELLIN JR. CADC 1 (NPI 1356893622) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (CI21280119) and active in the NPI registry since November 2016. He maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1356893622
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JAMES MEDELLIN JR.Credential: CADC 1
Location Address4343 WILLIAMSBOURGH DRSacramento, CA 95823-2006
Mailing Address7000 Franklin BlvdSacramento, CA 95823-1820 · (916) 388-9418
Phone(916) 395-3552
Sole ProprietorNo
Enumeration DateNovember 2, 2016
Last NPPES UpdateMarch 3, 20204 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
✔ NPI 1356893622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · CI21280119
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License R1237650916 (CA)
4343 WILLIAMSBOURGH DR, Sacramento, CA 95823
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Secondary Practice Location 1

Location 17000 Franklin BlvdSacramento, CA 95823-1820 · Phone (916) 388-9418 ext. 2116

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.

MISS LOLITA PATRICIA XUNCAX RRW
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MR. JACESON ALEXANDER SMITH RRW
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MRS. SHANTEL PELOTE
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
LANEESHA LOWE
Counselor
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MRS. PAULINE KNKIM WASHINGTON
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
TYLER MCGEE RRW
Behavior Analyst
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
DAMON COOPER
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MS. MYRAN SMITH CRAWFORD
Behavior Analyst
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552

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 James Medellin's NPI number?

The NPI number for James Medellin is 1356893622. It was assigned to this individual provider in the NPPES registry on November 2, 2016.

Where is James Medellin located?

James Medellin practices at 4343 Williamsbourgh Dr, Sacramento, CA 95823. The listed phone number is (916) 395-3552.

What is James Medellin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for James Medellin was last updated on March 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.