IndividualActive
Samantha Mediodia
NPI 1609551837 · Behavior Technician · San Jose, CA
Samantha Mediodia is a Behavior Technician provider in San Jose, CA (NPI 1609551837).
Provider details
- NPI number
- 1609551837
- 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(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4030 Moorpark Ave Ste 105
San Jose, CA 95117-1848
Phone: (669) 205-1778
Fax: (855) 568-2494
Street-level locationGet directions
Mailing address
4030 Moorpark Ave Ste 105
San Jose, CA 95117-1848
Registry dates
- Enumerated
- 2023-06-15
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Samantha Mediodia's NPI number?
- Samantha Mediodia's National Provider Identifier (NPI) is 1609551837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Mediodia's specialty?
- Samantha Mediodia is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samantha Mediodia located?
- Samantha Mediodia's practice location on file with NPPES is 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848.
- What is Samantha Mediodia's phone number?
- The practice phone number listed in the NPPES registry for Samantha Mediodia is (669) 205-1778.
- Is Samantha Mediodia's NPI active?
- Yes — Samantha Mediodia's NPI (1609551837) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.