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

Mr. James Medellin Jr., CADC1

Individual provider Case Manager/Care Coordinator · NPI 1356893622

Mr. James Medellin Jr., CADC1 is a Case Manager/Care Coordinator in Sacramento, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

4343 Williamsbourgh Dr
Sacramento, CA 95823-2006
Phone: (916) 395-3552
Show map & directions

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

Additional practice locations (1)

  • 7000 Franklin Blvd, Sacramento, CA 95823-1820 — (916) 388-9418

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CI21280119 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence R1237650916 (CA)

Record details

NPI number1356893622
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC1
Sole proprietorNo
NPI enumeratedNovember 2, 2016
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

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