Individual provider Active NPI

Mayra Mendoza

  • Certified Registered Nurse Anesthetist
  • San Francisco, CA
National Provider Identifier
1104469725
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001263 Issued in CA
Practice address
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone
(559) 790-6930
NPI assigned
Oct 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001263 CA Primary

Addresses

Primary practice location

505 Parnassus Ave
San Francisco, CA 94143-2204

Mailing address

1840 Shaw Ave # 105-134
Clovis, CA 93611-4078
Phone (559) 790-6930

Other practice location 1

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone (707) 423-7611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305000942 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567899404 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino AnesthesiaGroup PAC ID 7517360639, 61 clinicians

Practice addresses (Care Compare)

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95001263CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince May 28, 2020 Accepting new patients
Permanente Medical Group Inc CurrentSince Sep 8, 2025 Accepting new patients
University Anesthesia Medical Group CurrentSince May 28, 2020 Accepting new patients
Amsurg Marin Anesthesia LP CurrentSince Jun 21, 2022 Accepting new patients
University of California San Francisco CurrentSince May 28, 2020 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
UCSF Medical Group Business Services CurrentSince May 28, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
Precision Anesthesia Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Amsurg South Bay Anesthesia LP CurrentSince Feb 4, 2023 Accepting new patients
El Camino Anesthesia CurrentSince Jul 1, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 8, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 28, 2020 Accepting new patients
Oak Creek Anesthesia Services, Inc. CurrentSince May 31, 2022 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations (25 of 27)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210
Phone (310) 651-2040

9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1801 W Olympic Blvd
#2100
Pasadena, CA 91199

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

7300 Wyndham Dr
Sacramento, CA 95823
Phone (916) 525-6100

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

23560 Madison St
Torrance, CA 90505
Phone (310) 325-6331

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1104469725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SHAW AVE # 105-134",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114078",
            "telephone_number": "559-790-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "559-790-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bodin Cir",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351809",
            "country_code": "US",
            "telephone_number": "707-423-7611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MAYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.