Juan Antonio Mendoza

Primary specialty

Amputee Clinic/CenterTaxonomy code 261QA0900X

Legal business name

JUAN ANTONIO MENDOZA

Practice address

6190 Fairmount Ave
Suite a
San Diego, CA 92120-3428

Phone

(619) 285-5040

Fax

(619) 285-5045

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

John Prater

Title

Office Manager

Phone

(619) 285-5040

Specialties & licenses 2

Addresses

Other names 1

• ABI P&O Doing business as

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1154621720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 FAIRMOUNT AVE",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203428",
            "telephone_number": "619-285-5040",
            "fax_number": "619-285-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 FAIRMOUNT AVE",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203428",
            "telephone_number": "619-285-5040",
            "fax_number": "619-285-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN ANTONIO MENDOZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-285-5040"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABI P&O",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JS Cardiology
• Jsheard MD Incorporated
• JTC Home Health, Inc.
• Jtjsk Professional Corporation
• Maluz Celeste Juache, BA
• Juan C. Bosque, D.D.S., Inc.
• Artlynne Juan
• Ilona Catalina Juan
• Michael Anthony Juan, PH.D.
• Alfonso Rodriguez Juanengo, D.C.

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.