Active NPI
Marcel Alimbuyuguen Mendoza, MFC
- Marriage & Family Therapist
- Commerce, CA
National Provider Identifier
1104871276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC39920
- Practice address
- 5628 E Slauson Ave
Commerce, CA 90040 - Phone
- (323) 480-9242
- Fax
- (323) 780-3211
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC39920 | CA | Primary |
Addresses
Primary practice location
5628 E Slauson Ave
Commerce, CA 90040
Mailing address
5628 E Slauson Ave
Commerce, CA 90040-2922
Phone (323) 480-9242
Other practice location 1
2450 S Atlantic Bvd
Ste 101
Commerce, CA 90040-1200
Phone (323) 318-9960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC39920 | Other | CA | MFC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC39920 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penny Lane | Past | Accepting new patients | |
| Penny Lane | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1043491756
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1558664631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1104871276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5628 E SLAUSON AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402922",
"telephone_number": "323-480-9242",
"fax_number": "323-780-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5628 E SLAUSON AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "90040",
"telephone_number": "323-480-9242",
"fax_number": "323-780-3211"
}
],
"practiceLocations": [
{
"address_1": "2450 S Atlantic Bvd",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900401200",
"country_code": "US",
"telephone_number": "323-318-9960",
"fax_number": "323-318-9960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "MARCEL",
"middle_name": "ALIMBUYUGUEN",
"credential": "MFC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC39920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFC",
"identifier": "MFC39920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.