Jacob Medina is a Clinical in Bakersfield, California. Jacob Medina practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacob Medina is 1184810244. The last update date is 2023-11-29.
Jacob Medina's current location address is 3628 Stockdale Hwy, Bakersfield, California. You can contact this provider via phone number 6613221021. The mailing address for Jacob Medina is 3628 Stockdale Hwy, Bakersfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Medina |
|---|---|
| Address | 3628 Stockdale Hwy, Bakersfield, California |
| Phone Number | 6613221021 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1184810244 |
|---|---|
| Provider Enumeration Date | 2007-09-21 |
| Last Updated Date | 2023-11-29 |
Provider Mailing Address Detail
| Address | 3628 Stockdale Hwy |
|---|---|
| City | Bakersfield |
| State | California (CA) |
| Post Code | 933092153 |
| Phone Number | 6613221021 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | AMFT112693 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Jacob Medina by the Centers for Medicare & Medicaid Services?
The Jacob Medina has been assigned the NPI (National Provider Identifier) 1184810244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jacob Medina's physical address?
The Jacob Medina is physically located at 3628 Stockdale Hwy, in the city of Bakersfield, CA, with the postal code 933092153.
What is the Jacob Medina's specialty and taxonomy code?
The Jacob Medina's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184810244 to Jacob Medina?
The Centers for Medicare & Medicaid Services assigned the 1184810244 to Jacob Medina on 2007-09-21.
As of what date were the details pertaining to Jacob Medina last refreshed?
The information related to the Jacob Medina, including its address, specialty, and other relevant details, was last updated on 2023-11-29.