Active NPI
Maria Angelica Mendoza, CAA#00076083W
- Specialist
- San Diego, CA
National Provider Identifier
1144520941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- CAA#00076083W
- Practice address
- 5005 Texas St
Ste.203
San Diego, CA 92108-3721 - Phone
- (619) 692-0727
- Fax
- (619) 692-0785
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | CAA#00076083W | CA | Primary |
Addresses
Primary practice location
5005 Texas St
Ste.203
San Diego, CA 92108-3721
Mailing address
2930 E 19TH St
National City, CA 91950-5314
Phone (619) 479-9679
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 |
|---|---|---|---|
| CAA#00076083W | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1144520941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 E 19TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919505314",
"telephone_number": "619-479-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 TEXAS ST",
"address_2": "STE.203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083721",
"telephone_number": "619-692-0727",
"fax_number": "619-692-0785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MARIA",
"middle_name": "ANGELICA",
"credential": "CAA#00076083W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "CAA#00076083W",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.