Randell Rose Mendez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

35617 Issued in CA

Practice address

15348 Central Ave
Chino, CA 91710-7658

Phone

(909) 935-7073

NPI assigned

May 26, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1245853142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15348 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15348 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107658",
            "telephone_number": "909-935-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "RANDELL",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mei Lu DDS Inc
• Melanie Mejia Nunez
• Harrison Luke Menard
• Mendez Medical Products
• Ariadna M Mendez
• Meridian Medical Center of Chino
• Rosemary Meyers, PSY.D.
• Supriya D Mhaskar, DDS
• MHWS Corp
• Mi Sung Heo-Kim, DDS, Inc.

• Speech-Language Pathologist in Chino, CA
• Providers in Chino, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.