Individual provider Active NPI

Alyssa Mendoza, PA-C

  • Physician Assistant
  • Carmichael, CA
National Provider Identifier
1083508006
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66016 Issued in CA
Practice address
5841 Jameson CT Ste 2
Carmichael, CA 95608-0895
Phone
(916) 500-4989
NPI assigned
Jun 4, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66016 CA Primary

Addresses

Primary practice location

5841 Jameson CT Ste 2
Carmichael, CA 95608-0895

Mailing address

5841 Jameson CT Ste 2
Carmichael, CA 95608-0895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604003124 CA Practitioner - Physician Assistant 9739650367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5841 Jameson CT
Suite 2
Carmichael, CA 95608-0895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA66016CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Veritymd Inc CurrentSince Apr 21, 2026 Accepting new patients
Neurology Clinic, PC PastSince Apr 21, 2026 Accepting new patients

Locations

5841 Jameson Ct
Ste 2
Carmichael, CA 95608
Phone (916) 500-4989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1083508006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 JAMESON CT STE 2",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 JAMESON CT STE 2",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080895",
            "telephone_number": "916-500-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.