MELISSA ROSE MEDINA
NPI 1396498739
Licensed Vocational Nurse in Orange, CA

Q: What is Melissa Medina's NPI number?

The NPI number for Melissa Medina is 1396498739. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Q: What is Melissa Medina's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Medina was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 26, 2022

265 S ANITA DR STE 102-104, ORANGE, CA 92868(310) 945-3350 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 12, 2023, Oct 26, 2023, Jan 26, 2022 (3 updates tracked since 2022).

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About Melissa Rose Medina NPPES

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

MELISSA ROSE MEDINA (NPI 1396498739) is an individual licensed vocational nurse in Orange, California, licensed in California (709526) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1396498739

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameMELISSA ROSE MEDINA

Location Address265 S ANITA DR STE 102-104Orange, CA 92868-3355

Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350

Phone(310) 945-3350

Sole ProprietorYes

Enumeration DateJanuary 26, 2022

Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1396498739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 709526

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 709526 (CA)

265 S ANITA DR STE 102-104, Orange, CA 92868

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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.

EXODUS RECOVERY, INC.

Community/Behavioral Health