Audrey Mendoza Ordonia, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10004321 Issued in WA

Practice address

101 2ND St NE
Auburn, WA 98002-4905

Phone

(253) 833-6241

Fax

(253) 833-4113

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Physician Assistant

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1215979869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024905",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024905",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDONIA",
        "first_name": "AUDREY",
        "middle_name": "MENDOZA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Auburn, WA
• Providers in Auburn, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.