JACKQUELINE MEDINA
NPI 1780467589
Case Manager/Care Coordinator in Vallejo, CA

Active since August 15, 2023
160 GLEN COVE MARINA RD E STE 102, VALLEJO, CA 94591(707) 648-2000 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackqueline Medina NPPES

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

JACKQUELINE MEDINA (NPI 1780467589) is an individual case manager/care coordinator provider in Vallejo, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1780467589
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJACKQUELINE MEDINA
Location Address160 GLEN COVE MARINA RD E STE 102Vallejo, CA 94591-7290
Mailing Address160 Glen Cove Marina Rd E Ste 102Vallejo, CA 94591-7290 · (707) 648-2000
Sole ProprietorNo
Enumeration DateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
NPI 1780467589 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.

160 GLEN COVE MARINA RD E STE 102, Vallejo, CA 94591

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.

Counselor (Mental Health)
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Community Health Worker
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Day Training/Habilitation Specialist
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Case Manager/Care Coordinator
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Day Training/Habilitation Specialist
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Rehabilitation Practitioner
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Day Training/Habilitation Specialist
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Day Training/Habilitation Specialist
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591

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 Jackqueline Medina's NPI number?

The NPI number for Jackqueline Medina is 1780467589. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Jackqueline Medina located?

Jackqueline Medina practices at 160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591. The listed phone number is (707) 648-2000.

What is Jackqueline 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 Jackqueline Medina was last updated on August 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.