Jonathan Ace Cezo Mendoza

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

60387 Issued in OR

Practice address

2345 Biehn St
Klamath Falls, OR 97601-1761

Phone

(541) 882-4612

NPI assigned

Feb 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Integrated Health & Wellness, LLC

  • Acupuncturist
  • Klamath Falls, OR
  • NPI 1740313410
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1194358986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 CANNON AVE APT 27",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976036769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 BIEHN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011761",
            "telephone_number": "541-882-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JONATHAN ACE",
        "middle_name": "CEZO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "60387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmani Melgoza
• Stephanie Ann Melland, DDS
• Levi Meltabarger
• Robert Thomas Melton, MD
• Kendall A Membreno
• Mabelle Chan Mendoza
• Shreya Lynn Menges
• George Craig Merhoff Sr.
• Merle West Hematology Oncology Physicians
• Merle West Medical Center Inc Dba

• Physical Medicine & Rehabilitation Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.