Brenda G Mendoza, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT5896 Issued in CA

Practice address

1414 Park St
Paso Robles, CA 93446-2160

Phone

(805) 237-0272

NPI assigned

Nov 26, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1003150343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CURRENT LN",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461900",
            "telephone_number": "619-852-2654",
            "fax_number": "805-286-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PARK ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462160",
            "telephone_number": "805-237-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "BRENDA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT5896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Diane McIntyre
• Allison McLean
• Gail Corrine McNichols
• Jerald Brent Meek, O.D.
• Zenaida Mejia-Lowell
• Gabrielle Christina Menendez, OTD, OTR/L
• Menm, LLC
• Michael'S Optical Inc.
• Michelle Timenovich O.D., a Professional Optometry Corp.
• Don R Miller, D.D.S.

• Physical Therapy Assistant in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.