Active NPI
Christian H. Mendoza, D.C.
- Rehabilitation Chiropractor
- Los Angeles, CA
National Provider Identifier
1003096637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC-30742
- Practice address
- 349 S la Fayette Park PL
Apt 104
Los Angeles, CA 90057-1684 - Phone
- (805) 701-3207
- NPI assigned
- Nov 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-30742 | CA | |
| Rehabilitation Chiropractor | 111NR0400X | DC-30742 | CA | Primary |
Addresses
Primary practice location
349 S la Fayette Park PL
Apt 104
Los Angeles, CA 90057-1684
Mailing address
349 S la Fayette Park PL
Apt 104
Los Angeles, CA 90057-1684
Phone (805) 701-3207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30742 | CA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1003096637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 S LA FAYETTE PARK PL",
"address_2": "APT 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571684",
"telephone_number": "805-701-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 S LA FAYETTE PARK PL",
"address_2": "APT 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571684",
"telephone_number": "805-701-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "CHRISTIAN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-12",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30742",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC-30742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.