Active NPI
Ricardo Mendez, PA-C
- Physician Assistant
- Napa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55691
- Practice address
- 300 Hartle CT
Napa, CA 94559-4078 - Phone
- (707) 254-1775
- NPI assigned
- Apr 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 55691 | CA | |
| Physician Assistant | 363A00000X | 55691 | CA | Primary |
Addresses
Primary practice location
300 Hartle CT
Napa, CA 94559-4078
Mailing address
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Phone (707) 254-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Locations
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
300 Hartle Ct
Napa, CA 94559
Phone (707) 254-1775
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1365 Clifton Rd NE
Bldg B
Atlanta, GA 30322
Phone (404) 778-2020
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
Interoperability endpoints
- rmendez675845@direct.ochin.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1700976503
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1245043165
-
- Federally Qualified Health Center (FQHC)
- Saint Helena, CA
- NPI 1295913366
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Federally Qualified Health Center (FQHC)
- Davis, CA
- NPI 1558366823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1033644174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN STE 100",
"city": "NAPA",
"state": "CA",
"postal_code": "945586485",
"telephone_number": "707-254-1770",
"fax_number": "707-254-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HARTLE CT",
"city": "NAPA",
"state": "CA",
"postal_code": "945594078",
"telephone_number": "707-254-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "RICARDO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "55691",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "55691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.