Healthcare Provider Details

I. General information

NPI: 1013444165
Provider Name (Legal Business Name): ROBIN D MEDINA-REINHART NP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN MEDINA

II. Dates (important events)

Enumeration Date: 05/19/2017
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 N MEDICAL CENTER DR E STE 125
CLOVIS CA
93611-6882
US

IV. Provider business mailing address

726 N MEDICAL CENTER DR E STE 125
CLOVIS CA
93611-6882
US

V. Phone/Fax

Practice location:
  • Phone: 559-492-5749
  • Fax: 559-492-5830
Mailing address:
  • Phone: 559-439-6808
  • Fax: 559-492-5830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95006754
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: