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IMELDA MEDINA LVN
NPI 1972927424
Licensed Vocational Nurse in South San Francisco, CA

Active since February 04, 2014
226 ALTA MESA DR, SOUTH SAN FRANCISCO, CA 94080(415) 794-9567(650) 873-8713 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Imelda Medina Lvn NPPES

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

IMELDA MEDINA LVN (NPI 1972927424) is an individual licensed vocational nurse in South San Francisco, California, licensed in California (259253) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1972927424
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameIMELDA MEDINACredential: LVN
Location Address226 ALTA MESA DRSouth San Francisco, CA 94080-3002
Mailing Address226 Alta Mesa DrSouth San Francisco, CA 94080-3002 · (415) 794-9567 · Fax (650) 873-8713
Phone(415) 794-9567
Fax(650) 873-8713
Sole ProprietorYes
Enumeration DateFebruary 4, 2014
✔ NPI 1972927424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 259253
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
226 ALTA MESA DR, South San Francisco, CA 94080
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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 Imelda Medina's NPI number?

The NPI number for Imelda Medina is 1972927424. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Where is Imelda Medina located?

Imelda Medina practices at 226 Alta Mesa Dr, South San Francisco, CA 94080. The listed phone number is (415) 794-9567.

What is Imelda Medina's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Imelda Medina was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.