RUDY MEDINA
NPI 1982496360
Student in an Organized Health Care Education/Training Program in Lake Elsinore, CA

Active since May 21, 2025
31408 CLEMENT ST, LAKE ELSINORE, CA 92530(714) 225-3314 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rudy Medina NPPES

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

RUDY MEDINA (NPI 1982496360) is an individual student in an organized health care education/training program in Lake Elsinore, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1982496360
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRUDY MEDINA
Location Address31408 CLEMENT STLake Elsinore, CA 92530-5105
Mailing Address31408 Clement StLake Elsinore, CA 92530-5105 · (714) 225-3314
Sole ProprietorYes
Enumeration DateMay 21, 2025
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
NPI 1982496360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
31408 CLEMENT ST, Lake Elsinore, CA 92530

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 Rudy Medina's NPI number?

The NPI number for Rudy Medina is 1982496360. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Rudy Medina located?

Rudy Medina practices at 31408 Clement St, Lake Elsinore, CA 92530. The listed phone number is (714) 225-3314.

What is Rudy Medina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Rudy Medina was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.