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JONATHAN MEDINA
NPI 1659966208
Case Manager/Care Coordinator in Oakland, CA

Active since March 05, 2021
390 40TH ST, OAKLAND, CA 94609(510) 613-0330 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jonathan Medina NPPES

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

JONATHAN MEDINA (NPI 1659966208) is an individual case manager/care coordinator provider in Oakland, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1659966208
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJONATHAN MEDINA
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 613-0330
Phone(510) 613-0330
Sole ProprietorNo
Enumeration DateMarch 5, 2021
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1659966208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
390 40TH ST, Oakland, CA 94609
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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.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

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 Jonathan Medina's NPI number?

The NPI number for Jonathan Medina is 1659966208. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Jonathan Medina located?

Jonathan Medina practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 613-0330.

What is Jonathan Medina's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Medina was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.