IndividualActive
Annette Medina
NPI 1629641188 · Licensed Vocational Nurse · Hesperia, CA
Annette Medina is a Licensed Vocational Nurse provider in Hesperia, CA (NPI 1629641188).
Provider details
- NPI number
- 1629641188
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- VN193384 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
11776 Mariposa Rd Ste 103104
Hesperia, CA 92345-1622
Phone: (760) 956-2462
Street-level locationGet directions
Mailing address
1042 W 25th St
San Bernardino, CA 92405-3112
Additional practice locations (1)
- 1260 E Arrow HwyUpland, CA 91786-4982Phone: (909) 932-1069
Registry dates
- Enumerated
- 2021-07-22
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Frequently asked questions
- What is Annette Medina's NPI number?
- Annette Medina's National Provider Identifier (NPI) is 1629641188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Annette Medina's specialty?
- Annette Medina is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Annette Medina located?
- Annette Medina's practice location on file with NPPES is 11776 Mariposa Rd Ste 103104, Hesperia, CA 92345-1622.
- What is Annette Medina's phone number?
- The practice phone number listed in the NPPES registry for Annette Medina is (760) 956-2462.
- Is Annette Medina's NPI active?
- Yes — Annette Medina's NPI (1629641188) is active in the NPPES registry as of the last update on 2023-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.