Christian Jesus Mendoza, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

107354 Issued in CA

Practice address

35952 Winchester Rd BLDG 2
Winchester, CA 92596-7537

Phone

(888) 329-8111

NPI assigned

Jun 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christian J Mendoza DMD Inc

  • General Practice Dentistry
  • Eastvale, CA
  • NPI 1316899834
  NPD Authorized official

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1194341776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ISLAND AVE APT 435",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017965",
            "telephone_number": "619-840-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35952 WINCHESTER RD BLDG 2",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925967537",
            "telephone_number": "888-329-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CHRISTIAN",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "PD0011",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Martinez
• Meena Matloob, DMD
• Andrew Winfield McLean
• Samantha McLean, BCBA
• Dinora Mendoza-Montoya
• Diviana Mendoza
• Ellen Kong Mendoza, PHD, BCBA-D
• Justin Metsker
• Mia Michel
• Angie Miller

• Dentist in Winchester, CA
• Providers in Winchester, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.