Active NPI
Alejandra D. Mendizabal Registered Nursing and Family Practice Inc
- Family Medicine Physician
- Fontana, CA
National Provider Identifier
1194571398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Anderiana Lynn Alchehayed, NP
- Priscilla Ann Alcoser, LVN
- Norma Leticia Alderete
- Jennifer C Alderson, PA
- Alejandra D Mendizabal FNP (Mi Salud Medical Clinic)
- Palwasha Alemzay
- Ashley Hao-Ai Alexander, D.O.
- Alexandra Ayoub, DDS., a Professional Corporation
- Sandra Jamilette Alfaro Beltran, PSY.D.
- Omar Alfaro, DDS
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.