Active NPI
Jose Mendivil
- School Counselor
- Phoenix, AZ
National Provider Identifier
1083834501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 735 E Fillmore St
Phoenix, AZ 85006-3324 - Phone
- (602) 257-4851
- Fax
- (602) 257-4852
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | AZ | Primary |
Addresses
Primary practice location
735 E Fillmore St
Phoenix, AZ 85006-3324
Mailing address
7043 W Purdue Ave
Peoria, AZ 85345-8857
Phone (623) 878-0436
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": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1083834501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7043 W PURDUE AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853458857",
"telephone_number": "623-878-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 E FILLMORE ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063324",
"telephone_number": "602-257-4851",
"fax_number": "602-257-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIVIL",
"first_name": "JOSE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.