Active NPI
Melissa Lorraine Mendoza
- Orthopedic Assistant
- Long Beach, CA
National Provider Identifier
1235728445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Assistant
- License
- 16-1138
- Practice address
- 701 E 28TH St Ste 117
Long Beach, CA 90806-2772 - Phone
- (562) 426-9890
- Fax
- (562) 426-7809
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 16-1138 | CA | Primary |
Addresses
Primary practice location
701 E 28TH St Ste 117
Long Beach, CA 90806-2772
Mailing address
725 N Sunset Ave Apt 41
West Covina, CA 91790-1262
Phone (626) 975-8155
Other practice location 1
4201 Torrance Blvd Ste 190
Torrance, CA 90503-4539
Phone (310) 543-2521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-1138 | CA | MD | Orthopedic Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1235728445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 N SUNSET AVE APT 41",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901262",
"telephone_number": "626-975-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 28TH ST STE 117",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062772",
"telephone_number": "562-426-9890",
"fax_number": "562-426-7809"
}
],
"practiceLocations": [
{
"address_1": "4201 Torrance Blvd Ste 190",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905034539",
"country_code": "US",
"telephone_number": "310-543-2521",
"fax_number": "310-543-4754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "MELISSA",
"middle_name": "LORRAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": "CA",
"license": "16-1138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.