Organization Active NPI

Alejandra D. Mendizabal Registered Nursing and Family Practice Inc

  • Family Medicine Physician
  • Fontana, CA
National Provider Identifier
1194571398
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALEJANDRA D. MENDIZABAL REGISTERED NURSING AND FAMILY PRACTICE INC
Practice address
9653 Alder Ave
Fontana, CA 92335-6129
Phone
(909) 600-7002
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Alejandra Damayanti Mendizabal, NP
Title
Ceo
Phone
(661) 666-7238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

9653 Alder Ave
Fontana, CA 92335-6129

Mailing address

14325 Tori CT
Mission Hills, CA 91345-1836

Other practice location 1

9128 Woodman Ave
Arleta, CA 91331-6405
Phone (818) 892-7795

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1194571398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14325 TORI CT",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9653 ALDER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356129",
            "telephone_number": "909-600-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9128 Woodman Ave",
            "address_purpose": "LOCATION",
            "city": "Arleta",
            "state": "CA",
            "postal_code": "913316405",
            "country_code": "US",
            "telephone_number": "818-892-7795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEJANDRA D. MENDIZABAL REGISTERED NURSING AND FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "MENDIZABAL",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_middle_name": "DAMAYANTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-666-7238",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.