Active NPI
Cristiana Richelle Mendoza
- Behavior Technician
- San Jose, CA
National Provider Identifier
1053293712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
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 |
|---|---|---|---|---|
| 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.