IndividualActive
Socorro Medina
NPI 1174385066 · Behavior Technician · Stockton, CA
Socorro Medina is a Behavior Technician provider in Stockton, CA (NPI 1174385066).
Provider details
- NPI number
- 1174385066
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1811 Grand Blvd
Suite 2
Stockton, CA 95207
Phone: (877) 418-2978
Fax: (866) 500-2186
Approximate (ZIP-level) locationGet directions
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2024-01-25
- Certified
- 2024-01-23
Frequently asked questions
- What is Socorro Medina's NPI number?
- Socorro Medina's National Provider Identifier (NPI) is 1174385066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Socorro Medina's specialty?
- Socorro Medina is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Socorro Medina located?
- Socorro Medina's practice location on file with NPPES is 1811 Grand Blvd, Stockton, CA 95207.
- What is Socorro Medina's phone number?
- The practice phone number listed in the NPPES registry for Socorro Medina is (877) 418-2978.
- Is Socorro Medina's NPI active?
- Yes — Socorro Medina's NPI (1174385066) is active in the NPPES registry as of the last update on 2024-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.