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

Nicole G. Medina

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801548250

Nicole G. Medina is a Marriage and Family Therapist in Tustin, California. Qualified in 2018, 8 years ago. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

250 El Camino Real Ste 213
Tustin, CA 92780-3656
Phone: (714) 805-6510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 135401 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801548250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2022
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Tustin