Sarah Mendoza

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SUDCC-14889 Issued in CA

Practice address

311 E Merced St
Fowler, CA 93625-2316

Phone

(559) 892-9452

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prodigy Healthcare Non Profit

  • Adolescent and Children Mental Health Clinic/Center
  • Fowler, CA
  • NPI 1265158661
  NPD
• Prodigy Healthcare Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Selma, CA
  • NPI 1487164877

  Addiction (Substance Use Disorder)

  NPD (past)
• Prodigy Healthcare Inc.

  • Community/Behavioral Health Agency
  • Kingsburg, CA
  • NPI 1609321728
  NPD (past)
• Prodigy Healthcare Inc.

  • Community/Behavioral Health Agency
  • Kingsburg, CA
  • NPI 1972955227
  NPD (past)
• Prodigy Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Caruthers, CA
  • NPI 1144617176
  NPD (past)
• Prodigy Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Caruthers, CA
  • NPI 1154718401
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2024.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1003335720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MERCED ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252316",
            "telephone_number": "559-892-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MERCED ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252316",
            "telephone_number": "559-892-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252499",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 Wright St",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936622499",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Kingsburg",
            "state": "CA",
            "postal_code": "936311629",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Sierra St",
            "address_purpose": "LOCATION",
            "city": "Kingsburg",
            "state": "CA",
            "postal_code": "936311457",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 E Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252702",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Walter Ave",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936259792",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tiller Ave",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "93602",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2580 W Tahoe Ave",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "936099475",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13620 S. Kincaid",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "93662",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "SUDCC-14889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Renee Mares
• Victoria Lynn Mata
• Carly Jae Maxwell
• Medstar Lab Services LLC
• Guadalupe Melgoza
• Tristan Philip Mero
• Jordan Alexandra Minton
• Alvaro Molina
• Alma Delia Mora Perez
• Abigail Moreno

• All providers in Fowler, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.