Jacob Medina, is a
Marriage & Family Therapist based in Bakersfield, California. Jacob Medina is licensed to practice in California (license number LMFT143167) and his current practice location is
3628 Stockdale Hwy, Bakersfield, California. He can be reached at his office (for appointments etc.) via phone at
(661) 322-1021.
NPI number for Jacob Medina is 1184810244 and his current mailing address is 3628 Stockdale Hwy, Bakersfield, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184810244.
Healthcare Provider's Profile
Full Name | Jacob Medina |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 3628 Stockdale Hwy, Bakersfield, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184810244
- Provider Enumeration Date: 09/21/2007
- Last Update Date: 11/29/2023
Medical Identifiers
Medical identifiers for Jacob Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184810244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | AMFT112693 (California) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT143167 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Medina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacob Medina, 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 Ph: (661) 322-1021 | Jacob Medina, 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 Ph: (661) 322-1021 |
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