Victor Javier Medina, MD is a
Student In An Organized Health Care Education/training Program physician based in San Diego, California. Victor Javier Medina is licensed to practice in * (Not Available) (license number ) and his current practice location is 200 W Arbor Dr # Mc8425, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 543-6268.
NPI number for Victor Javier Medina is 1417659160 and his current mailing address is 200 W Arbor Dr # Mc8425, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417659160.
Physician's Profile
| Full Name | Victor Javier Medina |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 200 W Arbor Dr # Mc8425, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417659160
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 11/14/2025
Medical Identifiers
Medical identifiers for Victor Javier Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417659160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | A197207 (California) | Secondary |
| 208D00000X | General Practice | 036.177031 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| 208D00000X | General Practice | ME1777341 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Victor Javier Medina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Victor Javier Medina, MD
200 W Arbor Dr # Mc8425,
San Diego, CA 92103-1911
Ph: (619) 543-6268 | Victor Javier Medina, MD
200 W Arbor Dr # Mc8425,
San Diego, CA 92103-1911
Ph: (619) 543-6268 |
Reviews and Comments