MR. EDMUNDO MEDINA PA-C
NPI 1851242028
Psychiatry & Neurology - Neurology in Emeryville, CA

Q: What is Edmundo Medina's NPI number?

The NPI number for Edmundo Medina is 1851242028. It was assigned to this individual provider in the NPPES registry on February 4, 2026.

Q: What is Edmundo Medina's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Edmundo Medina was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 04, 2026PECOS Enrolled

2100 POWELL ST STE 400, EMERYVILLE, CA 94608(888) 544-4244 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Edmundo Medina Pa-c NPPES

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

MR. EDMUNDO MEDINA PA-C (NPI 1851242028) is an individual neurology provider in Emeryville, California, licensed in California (67784) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1851242028

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMR. EDMUNDO MEDINACredential: PA-C

Location Address2100 POWELL ST STE 400Emeryville, CA 94608-1872

Mailing Address1097 Santo Antonio Dr Apt 67Colton, CA 92324-4113 · (888) 544-4244

Phone(888) 544-4244

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 4, 2026

NPPES CertifiedFebruary 4, 2026

✔ NPI 1851242028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · 67784

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2100 POWELL ST STE 400, Emeryville, CA 94608

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edmundo Medina Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870076474

PECOS Enrollment IDI20260311004503

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRANDON SQUIBB

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