Individual provider Active NPI

Silvia Pacheco Mendoza, PHYSICIAN ASSISTANT

  • Family Medicine Physician
  • Vista, CA
National Provider Identifier
1245232404
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA17208 Issued in CA
Practice address
969 S Santa Fe Ave Ste a
Vista, CA 92083-6910
Phone
(760) 941-7050
Fax
(760) 941-7142
NPI assigned
Jun 1, 2005
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA17208 CA Primary

Addresses

Primary practice location

969 S Santa Fe Ave Ste a
Vista, CA 92083-6910

Mailing address

969 S Santa Fe Ave Ste a
Vista, CA 92083-6910
Phone (760) 941-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000759 CA Practitioner - Physician Assistant 5597719880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VF Alliance a Medical CorporationGroup PAC ID 1254697303, 9 clinicians

Practice addresses (Care Compare)

969 S Santa Fe Ave
Suite a
Vista, CA 92083-6910
Phone (760) 941-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17208CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Family Health Center,a Medical Corporation PastSince Oct 1, 2007 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: silvia@vfhc-ca.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1245232404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 S SANTA FE AVE STE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836910",
            "telephone_number": "760-941-7050",
            "fax_number": "760-941-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 S SANTA FE AVE STE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836910",
            "telephone_number": "760-941-7050",
            "fax_number": "760-941-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SILVIA",
        "middle_name": "PACHECO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA17208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.