VESTAL HOUSE ICFDDH
NPI 1730396128
Intermediate Care Facility, Intellectual Disabilities in San Leandro, CA

Q: What is Alma M Medina's NPI number?

The NPI number for Alma M Medina is 1730396128. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Vestal House Icfddh.

Q: What is Alma M Medina's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Alma M Medina was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 17, 2007

2076 VESTAL CT, SAN LEANDRO, CA 94577(650) 455-2574 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vestal House Icfddh NPPES

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

VESTAL HOUSE ICFDDH (NPI 1730396128) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Leandro, California and active in the NPI registry since May 2007. The organization lists Alma M Medina, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1730396128

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameALMA M MEDINA

Location Address2076 VESTAL CTSan Leandro, CA 94577-2328

Mailing Address2076 Vestal CtSan Leandro, CA 94577-2328 · (650) 455-2574

Phone(650) 455-2574

Organization SubpartNo

Authorized OfficialAlma M MedinaSupervisor · (650) 455-2574

Enumeration DateMay 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1730396128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

2076 VESTAL CT, San Leandro, CA 94577

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Other Names 1

Doing Business AsVestal House Icfddh

Other Identifiers 1

Other55G396CA · Provider Number

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 Alma M Medina's NPI number?

The NPI number for Alma M Medina is 1730396128. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Vestal House Icfddh.

Where is Alma M Medina located?

Alma M Medina is located at 2076 Vestal Ct, San Leandro, CA 94577. The listed phone number is (650) 455-2574.

What is Alma M Medina's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Alma M Medina was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.