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Isamar Medina
NPI 1912408279 · Behavior Technician · Stockton, CA
Isamar Medina is a Behavior Technician provider in Stockton, CA (NPI 1912408279).
Provider details
- NPI number
- 1912408279
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
Street-level locationGet directions
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Registry dates
- Enumerated
- 2018-02-22
- Last updated
- 2021-05-19
- Certified
- 2021-04-29
Frequently asked questions
- What is Isamar Medina's NPI number?
- Isamar Medina's National Provider Identifier (NPI) is 1912408279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Isamar Medina's specialty?
- Isamar Medina is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Isamar Medina located?
- Isamar Medina's practice location on file with NPPES is 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107.
- What is Isamar Medina's phone number?
- The practice phone number listed in the NPPES registry for Isamar Medina is (877) 418-2978.
- Is Isamar Medina's NPI active?
- Yes — Isamar Medina's NPI (1912408279) is active in the NPPES registry as of the last update on 2021-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.