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

Michael Alexander Medina, PA

Individual provider Physician Assistant · NPI 1801536784

Michael Alexander Medina, PA is a Physician Assistant in Fullerton, California. Qualified in 2022, 4 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 E Valencia Mesa Dr Ste 310
Fullerton, CA 92835-3800
Phone: (714) 734-3120
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 11190 Warner Ave Ste 408, Fountain Valley, CA 92708-4047 — (714) 430-1414

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61254 (CA)

Record details

NPI number1801536784
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 30, 2022
Last updated in NPPESNovember 13, 2023
Certification dateJuly 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Fullerton