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MRS. ANNETTE BELTRAN MEDINA
NPI 1629641188
Licensed Vocational Nurse in Hesperia, CA

Active since July 22, 2021
11776 MARIPOSA RD STE 103104, HESPERIA, CA 92345(760) 956-2462 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, Jul 22, 2021 (2 updates tracked since 2021).

About Mrs. Annette Beltran Medina NPPES

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

MRS. ANNETTE BELTRAN MEDINA (NPI 1629641188) is an individual licensed vocational nurse in Hesperia, California, licensed in California (VN193384) and active in the NPI registry since July 2021. She maintains a secondary practice location in Upland.

NPPES Registry Identity

NPI1629641188
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMRS. ANNETTE BELTRAN MEDINA
Location Address11776 MARIPOSA RD STE 103104Hesperia, CA 92345-1622
Mailing Address1042 W 25th StSan Bernardino, CA 92405-3112 · (213) 318-1929
Phone(760) 956-2462
Sole ProprietorNo
Enumeration DateJuly 22, 2021
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1629641188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN193384
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.
11776 MARIPOSA RD STE 103104, Hesperia, CA 92345
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Secondary Practice Location 1

Location 11260 E Arrow HwyUpland, CA 91786-4982 · Phone (909) 932-1069

Other Providers at the Same Location NPPES 2

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

SUSAN M ORTEGA
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD STE 103104
HESPERIA, CA 92345
San Bernardino County (760) 956-2462
TONI LYNN FIGUEROA LVN
Licensed Vocational Nurse
11776 MARIPOSA RD STE 103104
HESPERIA, CA 92345
San Bernardino County (760) 956-2462

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 Annette Medina's NPI number?

The NPI number for Annette Medina is 1629641188. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Annette Medina located?

Annette Medina practices at 11776 Mariposa Rd Ste 103104, Hesperia, CA 92345. The listed phone number is (760) 956-2462.

What is Annette Medina's specialty?

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

When was this NPI record last updated?

The NPPES record for Annette Medina was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.