DR. CESAR ULYCES MEDINA PT
NPI 1417762790
Physical Therapist - Neurology in Santa Rosa, CA

Q: What is Cesar Medina's NPI number?

The NPI number for Cesar Medina is 1417762790. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Q: What is Cesar Medina's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Cesar Medina was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since February 12, 2025Accepts Medicare Assignment

1165 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 525-5300 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Cesar Ulyces Medina Pt NPPES

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

DR. CESAR ULYCES MEDINA PT (NPI 1417762790) is an individual neurology provider in Santa Rosa, California, licensed in California (306448) and active in the NPI registry since February 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1417762790

Entity TypeIndividualMale

Primary Taxonomy2251N0400X

Provider Legal NameDR. CESAR ULYCES MEDINACredential: PT

Location Address1165 MONTGOMERY DRSanta Rosa, CA 95405-4801

Mailing Address601 Nikki DrPetaluma, CA 94954-1528 · (707) 364-6860

Phone(707) 525-5300

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 12, 2025

NPPES CertifiedFebruary 12, 2025

✔ NPI 1417762790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in CA · 306448

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

1165 MONTGOMERY DR, Santa Rosa, CA 95405

Open in Google Maps ↗

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

Dr. Cesar Ulyces Medina Pt 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 ID1951897412

PECOS Enrollment IDI20260105002184

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.

DR. RIDGELY OLIVER MULLER M.D.

Emergency Medicine

1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 525-5207

MRS. SONOE M OFT OTR/L

Occupational Therapist (Physical Rehabilitation)

1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 525-5300

BETHANY HOFFMAN

Registered Nurse (Medical-Surgical)

1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 525-5300

KATE ESTHER BLACK MD

Anesthesiology (Pain Medicine)

1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 546-3210

SAAD SULTAN PHARMD

Pharmacist

1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 525-5380

CHASE DENNIS EMERGENCY MEDICAL GROUP INC

Emergency Medicine

1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (925) 924-1600

JAMES JOHN MC KEITH M.D.

Emergency Medicine

1165 MONTGOMERY DR, SANTA ROSA MEMORIAL HOSPITAL
SANTA ROSA, CA 95405

Sonoma County (707) 525-5207

MATTHEW BRADY THOMAS M.D.

Emergency Medicine

1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 546-3210

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 Cesar Medina's NPI number?

The NPI number for Cesar Medina is 1417762790. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Cesar Medina located?

Cesar Medina practices at 1165 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 525-5300.

What is Cesar Medina's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Cesar Medina enrolled in Medicare?

Yes. Cesar 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 Cesar Medina was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.