Gretel Marie Mendoza, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95002233 Issued in CA

Practice address

27349 Jefferson Ave Ste 111
Temecula, CA 92590-5610

Phone

(949) 201-8260

Fax

(951) 221-5689

NPI assigned

Jan 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psych PartnersGroup PAC ID 0840639746, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psych Partners

  • Mental Health Counselor
  • Temecula, CA
  • NPI 1811455306
  Medicare reassignment Care Compare group NPD
• Psychology Partners a Prof Corp

  dba Psych Partners

  • Marriage & Family Therapist
  • Temecula, CA
  • NPI 1104797398

  Psychiatric/Mental Health

  NPD
• Operation Samahan, Inc.

  dba Opsam Health

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1194616268
  NPD (past)

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1245652387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 111",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 111",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905610",
            "telephone_number": "949-201-8260",
            "fax_number": "951-221-5689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10737 Camino Ruiz",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921262359",
            "country_code": "US",
            "telephone_number": "844-200-2426",
            "fax_number": "951-221-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "GRETEL MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "763562",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Aaliyah Mendez
• Olga Mendez
• Mending the Heart
• Brian Rui Muto Mendoza
• Fatima Mendoza
• Herbert Manuel Mendoza Jr., D.D.S.
• Kevin Ricky Mendoza, RN
• Margarita Mendoza, DDS
• Natanemarie Mendoza
• Raul Mendoza

• Psychiatric/Mental Health Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.