What is Ivan Medina's NPI number?

Ivan Medina's National Provider Identifier (NPI) is 1609619592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ivan Medina's specialty?

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

Where is Ivan Medina located?

Ivan Medina's practice location on file with NPPES is 2739 Navajo St, Santa Rosa, CA 95403-3223.

What is Ivan Medina's phone number?

The practice phone number listed in the NPPES registry for Ivan Medina is (707) 331-3647.

Is Ivan Medina's NPI active?

Yes — Ivan Medina's NPI (1609619592) is active in the NPPES registry as of the last update on 2024-06-17.

IndividualActive

Ivan Medina

NPI 1609619592 · Behavior Technician · Santa Rosa, CA

Ivan Medina is a Behavior Technician provider in Santa Rosa, CA (NPI 1609619592).

Provider details

NPI number: 1609619592
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(50/100 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

2739 Navajo St

Santa Rosa, CA 95403-3223

Phone: (707) 331-3647

Street-level locationGet directions

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Mailing address