Manuel F Mendoza MD Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

A53896 Issued in CA

Legal business name

MANUEL F MENDOZA MD INC

Practice address

11735 Firestone Blvd
Norwalk, CA 90650-2808

Phone

(562) 925-7716

Fax

(562) 867-0665

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Asif Shaikh

Title

Admin

Phone

(562) 925-7716

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Manuel F Mendoza MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Manuel F. Mendoza, M.D., Inc

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1942416045
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amada Bautista Mendoza, CNP

  • Women's Health Nurse Practitioner
  • Norwalk, CA
  • NPI 1013059062
  NPD
• Manuel Faigal Mendoza, M.D.

  • Specialist
  • Norwalk, CA
  • NPI 1295824654
  NPD

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1154865707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502808",
            "telephone_number": "562-925-7716",
            "fax_number": "562-867-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502808",
            "telephone_number": "562-925-7716",
            "fax_number": "562-867-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL F MENDOZA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2021-07-27",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "562-925-7716",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A53896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joselito Manalad
• Ruth Pua Mancao, RPT
• Ada L Mancilla
• Erika Cardenas Mancilla, LMFT
• Calli Manderino, BCBA 1-25-79520
• Manuel F. Mendoza, M.D., Inc
• Manuel Sacpano MD Inc
• Socorro Hermelle Yuhieo Manzanilla, M.D.
• Sergio Manzo Jr.
• Lin Mao

• Health Maintenance Organization in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.