Amada Bautista Mendoza, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

329964 Issued in CA

Practice address

11735 Firestone Blvd
Norwalk, CA 90650-2808

Phone

(562) 925-7716

Fax

(562) 867-0665

NPI assigned

Feb 13, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: amendoza@manuelfmendozamdinc.adaptamed.direct-ci.com
• Direct secure messaging: amendoza@amnc.adaptamed.direct-ci.com

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.

• Amada Mendoza Nursing Corporation

  • Obstetrics & Gynecology Physician
  • Bellflower, CA
  • NPI 1407272685
  NPD (past) Authorized official
• Manuel F Mendoza MD Inc

  • Health Maintenance Organization
  • Norwalk, CA
  • NPI 1154865707
  NPD
• Manuel F. Mendoza, M.D., Inc

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1942416045
  NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1013059062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502808",
            "telephone_number": "562-925-7716",
            "fax_number": "562-867-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502808",
            "telephone_number": "562-925-7716",
            "fax_number": "562-867-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "AMADA",
        "middle_name": "BAUTISTA",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "329964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "329964",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPF LICENSE",
            "identifier": "8037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Mejia
• Carlos Melchor
• Memorial Pathology Medical Group, Inc.
• Rosio Lus Mena
• Esmeralda Mencias
• Clarissa Desiree Mendoza
• Jhoenalyn Mendoza
• Manuel Faigal Mendoza, M.D.
• Hillary Mennella, DNP, FNP-BC
• Dorothy Ndidi Meregini

• Women's Health Nurse Practitioner in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.