Susan Mendoza

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F0814018 Issued in CA

Practice address

330 S Garfield Ave
Ste 268
Alhambra, CA 91801-3892

Phone

(626) 281-3265

Fax

(626) 300-0056

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Asinas Mendoza Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ngo Phan MD Inc

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1952663114
  Medicare reassignment NPD

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1124426127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S GARFIELD AVE",
            "address_2": "STE 268",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013892",
            "telephone_number": "626-281-3265",
            "fax_number": "626-300-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S GARFIELD AVE",
            "address_2": "STE 268",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013892",
            "telephone_number": "626-281-3265",
            "fax_number": "626-300-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "F0814018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MENDOZA",
            "middle_name": "ASINAS",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melinda Melendez
• Eva Melnyk
• Leslym Mendez
• Jeanette Mendia
• Valeria Montzerrat Mendoza Martinez
• Yasmine Mendoza
• Janine Meneses
• Michael C. Mentari, M.D.
• Anita L Mercado, M.D.
• David Mesa Jr.

• Primary Care Nurse Practitioner in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.