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

Desiree Medina I

Individual provider Counselor · NPI 1063898708

Desiree Medina I is a Counselor in San Leandro, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
4

Practice location Address checks out

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone: (510) 317-1444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 87365 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 87365 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 87365 (CA)

Record details

NPI number1063898708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2015
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

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