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

Madelyn San

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134732019

Madelyn San is a Student in an Organized Health Care Education/Training Program in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

554 Grand Ave
Oakland, CA 94610-3515
Phone: (510) 444-1671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Clinical Social Worker Taxonomy 1041C0700X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1134732019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2020
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

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