Individual provider Active NPI

Cristiana Richelle Mendoza

  • Behavior Technician
  • San Jose, CA
National Provider Identifier
1053293712
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
San Jose Office 577 Salmar Ave. Campbell, Ca 95008
San Jose, CA 95111
Phone
(510) 402-4928
Fax
(408) 628-0587
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

San Jose Office 577 Salmar Ave. Campbell, Ca 95008
San Jose, CA 95111

Mailing address

San Jose Office 577 Salmar Ave. Campbell, Ca 95008
San Jose, CA 95008
Phone (408) 693-6636

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

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1053293712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN JOSE OFFICE 577 SALMAR AVE. CAMPBELL, CA 95008",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-693-6636",
            "fax_number": "408-628-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JOSE OFFICE 577 SALMAR AVE. CAMPBELL, CA 95008",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95111",
            "telephone_number": "510-402-4928",
            "fax_number": "408-628-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CRISTIANA",
        "middle_name": "RICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.