Individual provider Active NPI

Jean Michelle Mendiola Mayuga, FNP-C

  • Family Nurse Practitioner
  • Aliso Viejo, CA
National Provider Identifier
1154802593
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009384 Issued in CA
Practice address
26671 Aliso Creek Rd Ste 101
Aliso Viejo, CA 92656-4807
Phone
(949) 763-7188
NPI assigned
Aug 23, 2018
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009384 CA Primary

Addresses

Primary practice location

26671 Aliso Creek Rd Ste 101
Aliso Viejo, CA 92656-4807

Mailing address

10952 Elena St
Cerritos, CA 90703-1509
Phone (562) 715-4773

Other practice location 1

10952 Elena St
Cerritos, CA 90703-1509
Phone (562) 715-4773

Other practice location 2

5424 Woodruff Ave
Lakewood, CA 90713-1533
Phone (562) 452-0038

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200706002851 CA Practitioner - Nurse Practitioner 2860815024 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Care MD Medical Group Family CurrentSince Jun 25, 2020 Accepting new patients
Oneil Enterprises Inc CurrentSince Jun 14, 2023 Accepting new patients
HMTS, Inc CurrentSince Apr 14, 2025 Accepting new patients

Locations

26671 Aliso Creek Rd
Ste 101
Aliso Viejo, CA 92656
Phone (949) 360-0330

4139 Ball Rd
Cypress, CA 90630
Phone (657) 377-0740

3220 Yorba Linda Blvd
Fullerton, CA 92831
Phone (714) 465-4127

5424 Woodruff Ave
Lakewood, CA 90713
Phone (562) 452-0038

100 N Barranca St
Ste 900J
West Covina, CA 91791
Phone (626) 377-7608

Interoperability endpoints

  • Direct secure messaging: jean.mayuga.1@27211.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1154802593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10952 ELENA ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031509",
            "telephone_number": "562-715-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD STE 101",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564807",
            "telephone_number": "949-763-7188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10952 Elena St",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907031509",
            "country_code": "US",
            "telephone_number": "562-715-4773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5424 Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907131533",
            "country_code": "US",
            "telephone_number": "562-452-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYUGA",
        "first_name": "JEAN MICHELLE",
        "middle_name": "MENDIOLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.