What is Eliseo Medina's NPI number?

Eliseo Medina's National Provider Identifier (NPI) is 1558165183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Eliseo Medina's specialty?

Eliseo Medina is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Eliseo Medina located?

Eliseo Medina's practice location on file with NPPES is 12437 Lewis St Ste 100, Garden Grove, CA 92840-4651.

What is Eliseo Medina's phone number?

The practice phone number listed in the NPPES registry for Eliseo Medina is (209) 596-8053.

Is Eliseo Medina's NPI active?

Yes — Eliseo Medina's NPI (1558165183) is active in the NPPES registry as of the last update on 2025-04-02.

IndividualActive

Eliseo Medina

NPI 1558165183 · Behavior Technician · Garden Grove, CA

Eliseo Medina is a Behavior Technician provider in Garden Grove, CA (NPI 1558165183).

Provider details

NPI number: 1558165183
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers
Behavior Analyst103K00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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

12437 Lewis St Ste 100

Garden Grove, CA 92840-4651

Phone: (209) 596-8053

Street-level locationGet directions

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Mailing address