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

Jackqueline Medina

Individual provider Case Manager/Care Coordinator · NPI 1780467589

Jackqueline Medina is a Case Manager/Care Coordinator in Vallejo, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290
Phone: (707) 648-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1780467589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7290

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