Active NPI
Olga Mendez
- Phlebology Physician
- Temecula, CA
National Provider Identifier
1023763760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 00072034
- Practice address
- 30600 Pauba Rd
Temecula, CA 92592-6206 - Phone
- (951) 447-6787
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 00072034 | CA | Primary |
Addresses
Primary practice location
30600 Pauba Rd
Temecula, CA 92592-6206
Mailing address
2108 N St Ste 8083
Sacramento, CA 95816-5712
Phone (909) 280-0559
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 |
|---|---|---|---|
| 00072034 | CA | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1023763760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST STE 8083",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "909-280-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30600 PAUBA RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926206",
"telephone_number": "951-447-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "OLGA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "CA",
"license": "00072034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.