Individual provider Active NPI

Paulina Arosemena Mendoza-Mancini, DO

  • Emergency Medicine Physician
  • Placentia, CA
National Provider Identifier
1255595054
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
CA20A13384 Issued in CA
Practice address
1301 N Rose Dr
Placentia, CA 92870-3802
Phone
(714) 524-4827
NPI assigned
Jul 11, 2008
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X CA20A13384 CA Primary
Family Medicine Physician 207Q00000X OT012489 PA

Addresses

Primary practice location

1301 N Rose Dr
Placentia, CA 92870-3802

Mailing address

50 Commerce Dr
Wyomissing, PA 19610-3335

Other practice location 1

6th Avenue & Spruce Street
West Reading, PA 19611-3335
Phone (610) 988-8198

Other identifiers 1

IdentifierTypeStateIssuer
CA20A13384OtherCASTATE BOARD OF CALIFORNIA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916001604 CA Practitioner - Emergency MedicinePractitioner - Family Practice 9436382512 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Care IncGroup PAC ID 4880058783, 7 clinicians
Riverside Emergency Physicians Medical GroupGroup PAC ID 0547173882, 25 clinicians

Practice addresses (Care Compare)

1301 N Rose Dr
Placentia, CA 92870-3802
Phone (714) 993-2000

3865 Jackson St
Riverside, CA 92503-3919
Phone (951) 352-5666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
CA20A13384CAMDEmergency Medicine Physician
OT012489PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Anaheim Emergency Medical Group Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Sep 26, 2022 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Sep 26, 2022 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Sep 26, 2022 Accepting new patients
Comprehensive Care, Inc Emergency Medicine CurrentSince Aug 16, 2023 Accepting new patients
Riverside Emergency Physicians Medical Group Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Glass Beach Medical Services a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1255595054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N ROSE DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703802",
            "telephone_number": "714-524-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6th Avenue & Spruce Street",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196113335",
            "country_code": "US",
            "telephone_number": "610-988-8198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA-MANCINI",
        "first_name": "PAULINA",
        "middle_name": "AROSEMENA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "CA20A13384",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT012489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF CALIFORNIA",
            "identifier": "CA20A13384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.