MANUEL AMADO MEDINA
NPI 1972208965
Counselor - Addiction (Substance Use Disorder) in Fairfield, CA

Active since March 31, 2023
101 BODIN CIR, FAIRFIELD, CA 94535(707) 423-5173 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manuel Amado Medina NPPES

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

MANUEL AMADO MEDINA (NPI 1972208965) is an individual addiction (substance use disorder) provider in Fairfield, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1972208965
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMANUEL AMADO MEDINA
Location Address101 BODIN CIRFairfield, CA 94535-1809
Mailing Address468 Crimson CirVacaville, CA 95687-7631 · (609) 283-6188
Sole ProprietorNo
Enumeration DateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
NPI 1972208965 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
101 BODIN CIR, Fairfield, CA 94535

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.

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535

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 Manuel Medina's NPI number?

The NPI number for Manuel Medina is 1972208965. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Manuel Medina located?

Manuel Medina practices at 101 Bodin Cir, Fairfield, CA 94535. The listed phone number is (707) 423-5173.

What is Manuel 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 Manuel Medina was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.