Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adalberto Medina Jr.

Individual provider Family Nurse Practitioner · NPI 1306687819

Adalberto Medina Jr. is a Nurse Practitioner in Santa Maria, California. Qualified in 2023, 3 years ago. Practices with Pacific Central Coast Health Centers, a 250-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

1102 E Clark Ave Ste 120A
Santa Maria, CA 93455-5175
Phone: (805) 332-8185
Fax: (805) 332-8186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 — (805) 474-8450

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95030886 (CA)

Record details

NPI number1306687819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pacific Central Coast Health Centers — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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