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MS. CANDELARIA MEDINA R1377450220
NPI 1699308205
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since February 21, 2020
1414 W KEARNEY BLVD, FRESNO, CA 93706(559) 485-0501(559) 485-1313 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Feb 21, 2020 (2 updates tracked since 2020).

About Ms. Candelaria Medina R1377450220 NPPES

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

MS. CANDELARIA MEDINA R1377450220 (NPI 1699308205) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (17120) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1699308205
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. CANDELARIA MEDINACredential: R1377450220
Location Address1414 W KEARNEY BLVDFresno, CA 93706-2702
Mailing Address1414 W Kearney BlvdFresno, CA 93706-2702 · (559) 485-0501 · Fax (559) 485-1313
Phone(559) 485-0501
Fax(559) 485-1313
Sole ProprietorNo
Enumeration DateFebruary 21, 2020
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1699308205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 17120
1414 W KEARNEY BLVD, Fresno, CA 93706
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Other Providers at the Same Location NPPES 17

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

JOEANNA RIVERA
Community Health Worker
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. EDWARD ANTHONY URREA
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. CARLOS ABRAHAM ALTAMIRANO
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MRS. MAGDALENA GRANADOS SUDRC#10744
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MRS. DESARI M BLACK SUDCCIII-CS
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. ALBERT J. ROBLES
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. JOSE QUIJANO
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. JOSE AHUMADA ROSALES SUDRC#10745
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501

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 Candelaria Medina's NPI number?

The NPI number for Candelaria Medina is 1699308205. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Candelaria Medina located?

Candelaria Medina practices at 1414 W Kearney Blvd, Fresno, CA 93706. The listed phone number is (559) 485-0501.

What is Candelaria Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Candelaria Medina was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.