Mendoza Family Practice Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A88698 Issued in CA

Legal business name

MENDOZA FAMILY PRACTICE MEDICAL CORPORATION

Practice address

1303 Jefferson St
Delano, CA 93215-2205

Phone

(661) 720-9111

Fax

(661) 725-4689

NPI assigned

Oct 2, 2007

Last updated

Feb 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna Luisa Mendoza, M.D.NPI 1699742510

Title

Physician

Phone

(661) 720-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Luisa Mendoza, M.D.

  • Family Medicine Physician
  • Delano, CA
  • NPI 1699742510
  NPD Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1073700134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 JEFFERSON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152205",
            "telephone_number": "661-720-9111",
            "fax_number": "661-725-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 JEFFERSON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152205",
            "telephone_number": "661-720-9111",
            "fax_number": "661-725-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOZA FAMILY PRACTICE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "661-720-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073700134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medi-Ride Medical Transport LLC (Medi-Ride Medical Transport)
• Kimberly Medina
• Elizabeth Medrano
• Yohanna Angeles Mehretab Roman, MD
• Mary Joy G Membreve, FNP-C
• Anna Luisa Mendoza, M.D.
• Dayana Mendoza
• Gabriel Garcia Mendoza, MSW
• Michelle Juanatas Bowens, DDS, Inc (Delano Dental)
• James Miskulin

• Family Medicine Physician in Delano, CA
• Providers in Delano, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.