Jeanette Mendez, M.D. , a Professional Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G54683 Issued in CA

Legal business name

JEANETTE MENDEZ, M.D. , A PROFESSIONAL CORPORATION

Practice address

477 N El Camino Real
Suite D-306
Encinitas, CA 92024-1328

Phone

(760) 436-9872

Fax

(888) 596-1439

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeanette Mendez, M.D.

Title

President

Phone

(760) 436-9872

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1073633004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81824",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921381824",
            "telephone_number": "760-436-9872",
            "fax_number": "888-596-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "SUITE D-306",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-436-9872",
            "fax_number": "888-596-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE MENDEZ, M.D. , A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-436-9872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G54683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.