Mark Ross Silverio Mendoza, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024791 Issued in CA

Practice address

1620 Artesia Blvd
Redondo Beach, CA 90278-2838

Phone

(714) 882-0696

NPI assigned

Aug 28, 2023

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harbor Wound Care P.C.

  • General Practice Physician
  • Banning, CA
  • NPI 1427922392
  Medicare reassignment Care Compare group NPD
• Avida Health Systems Solutions Inc

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1821818840
  Medicare reassignment NPD
• Molina Healthcare of California

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760
  Medicare reassignment
• Wound Saviors Advanced Medical Group Inc

  • Family Nurse Practitioner
  • Long Beach, CA
  • NPI 1013809854
  Medicare reassignment
• Empire Wound Care

  • General Practice Physician
  • Monrovia, CA
  • NPI 1710796792
  NPD
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1023893294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782838",
            "telephone_number": "714-882-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782838",
            "telephone_number": "714-882-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARK ROSS",
        "middle_name": "SILVERIO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelo Daniel Mele Jr., LMT
• Stephanie Rashell Melgar-Salazar
• Gino Satoshi Melillo, FNP PMHNP
• Peter Bruce Mendelsohn, M.D.
• Ivette Mendez
• Melissa Mendoza
• Meliza Menjivar
• Mercedeh Baghai M.D. Inc.
• Ann-Margaret Charlene Mercier, LMFT, APCC
• Rebecca Ann Merida

• Family Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.