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DIANA MEDRANO
NPI 1639458169
Counselor in San Jose, CA

Active since August 15, 2011PECOS Enrolled
438 N WHITE RD, SAN JOSE, CA 95127(408) 254-6828(408) 642-6052 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diana Medrano NPPES

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

DIANA MEDRANO (NPI 1639458169) is an individual counselor in San Jose, California, licensed in California (9138) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639458169
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDIANA MEDRANO
Location Address438 N WHITE RDSan Jose, CA 95127-1439
Mailing Address1922 The Alameda Ste 316San Jose, CA 95126-1461 · (408) 261-7777 · Fax (408) 642-6052
Phone(408) 254-6828
Fax(408) 642-6052
Sole ProprietorYes
Enumeration DateAugust 15, 2011
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1639458169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · 9138
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 9138 (CA)
438 N WHITE RD, San Jose, CA 95127
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Medrano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

BELIA MANUELA MARTINEZ
Rehabilitation Practitioner
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (619) 319-2180
TARAH LAUREN APODACA
Rehabilitation Practitioner
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 254-6848
MR. FODAY PRINCE LEBBIE
Case Manager/Care Coordinator
438 N WHITE RD, ALLIANCE FOR COMMUNITY CARE SERVICE TEAM OUTPATIENT
SAN JOSE, CA 95127
Santa Clara County (408) 254-6828
MR. SOKHA LIM DOK
Rehabilitation Practitioner
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 254-6828
FRANCISCO MARTINEZ
Peer Specialist
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 254-6828
EDWIN RAUL MIRANDA
Case Manager/Care Coordinator
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 254-6848
MOMENTUM FOR HEALTH
Psychologist
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 510-6284
MS. TEODORA A GOLTIAO PSYCH TECHNICIAN
Licensed Psychiatric Technician
438 N WHITE RD, ALLIANCE FOR COMMUNITY CARE SERVICE TEAM ADULT OUTPATI
SAN JOSE, CA 95127
Santa Clara County (408) 254-6828

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 Diana Medrano's NPI number?

The NPI number for Diana Medrano is 1639458169. It was assigned to this individual provider in the NPPES registry on August 15, 2011.

Where is Diana Medrano located?

Diana Medrano practices at 438 N White Rd, San Jose, CA 95127. The listed phone number is (408) 254-6828.

What is Diana Medrano's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Diana Medrano enrolled in Medicare?

Yes. Diana Medrano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Medrano was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.