Sanjani Mendoza

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

747018 Issued in CA

Practice address

2719 Blakely LN
Fairfield, CA 94533-6647

Phone

(510) 334-1702

NPI assigned

Aug 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sanjani Prasad Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1114471406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 BLAKELY LN",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 BLAKELY LN",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336647",
            "telephone_number": "510-334-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SANJANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "747018",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "747018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANJANI",
            "last_name": "PRASAD",
            "credential": "CCRN, CMSRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Mendoza, DDS
• Edward Lusung Mendoza, LVN
• Ernestina A. Mendoza, MFTI
• Josef Lusung Mendoza
• Maria Mendoza
• Menm, LLC
• Alexander J Menze, MD
• Maria Teresa Mercado-Gans, MSN, PHN, RN, NP
• Anne Rochelle Mercado, OTR/L
• Mercados Supply LLC

• Critical Care Medicine Registered Nurse in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Critical Care Medicine Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.