Desiree Medina I, is a
Social Worker based in San Leandro, California. Desiree Medina I is licensed to practice in California (license number 87365) and her current practice location is
2275 Arlington Dr, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Desiree Medina I is 1063898708 and her current mailing address is 2275 Arlington Dr, San Leandro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063898708.
Healthcare Provider's Profile
| Full Name | Desiree Medina I |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2275 Arlington Dr, San Leandro, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063898708
- Provider Enumeration Date: 08/05/2015
- Last Update Date: 03/22/2024
Medical Identifiers
Medical identifiers for Desiree Medina I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063898708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 87365 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 87365 (California) | Secondary |
| 104100000X | Social Worker | 87365 (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. Desiree Medina I 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 |
|---|
Desiree Medina I,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Desiree Medina I,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 |
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