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

Camille Ivy Medina

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1033901582

Camille Ivy Medina is a Nurse Practitioner in Pasadena, California. Graduated from National University of Arts and Sciences, Medical Department in 2024, 2 years ago. Practices with The Huntington Medical Foundation, a 57-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Trained at
National University of Arts and Sciences, Medical Department
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

100 W California Blvd
Pasadena, CA 91105-3010
Phone: (626) 397-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95034074 (CA)

Record details

NPI number1033901582
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolNATIONAL UNIVERSITY OF ARTS AND SCIENCES, MEDICAL DEPARTMENT
Graduated 2024 (2 years in practice)
Group practice The Huntington Medical Foundation — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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