Fernando C Mendoza, PA, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

17178 Issued in CA

Practice address

1704 State St
Santa Barbara, CA 93101-2522

Phone

(805) 682-9942

Fax

(805) 563-9493

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Medical Group of Ventura County IncGroup PAC ID 0345218160, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fernando.mendoza.1@21226.direct.athenahealth.com

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

• Primary Medical Group of Ventura County Inc

  • Family Medicine Physician
  • Ventura, CA
  • NPI 1417970849
  Medicare reassignment Care Compare group
• Spanish Hills Medical Group Inc

  • Internal Medicine Physician
  • Oxnard, CA
  • NPI 1265595268
  Medicare reassignment
• Santa Barbara Artificial Kidney Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Santa Barbara, CA
  • NPI 1386779270
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1245358449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012522",
            "telephone_number": "805-682-9942",
            "fax_number": "805-563-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012522",
            "telephone_number": "805-682-9942",
            "fax_number": "805-563-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "FERNANDO",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA, NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19277",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "17178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245358449",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Rae Mendez
• Natalie Mendez
• Alana Lee Mendoza, FNP-BC
• Christopher Ruben Mendoza, DPT
• Esmeralda Jasmine Mendoza
• Marilyn Mendoza, M.D.
• Rafael Andres-Eugene Mendoza
• Coral Kai Menedez, MA, AMFT, APCC
• Susanna Menelli
• Linda Elaine Menesez, M.S.W., L.C.S.W.

• Nurse Practitioner in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.