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Alma M Medina — NPI 1730396128, San Leandro, CA | NPI Central

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NPI 1730396128

OrganizationActive

Alma M Medina

NPI 1730396128 · Intellectual Disabilities Intermediate Care Facility · San Leandro, CA

Provider details

NPI number: 1730396128
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Alma Medina, Supervisor(650) 455-2574

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

2076 Vestal Ct

San Leandro, CA 94577-2328

Phone: (650) 455-2574

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

2076 Vestal Ct

San Leandro, CA 94577-2328

Other names (DBA / former)

Doing business as: Vestal House Icfddh

Registry dates

Enumerated: 2007-05-17
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.