Active NPI
Carlos F Mendoza, SLD
- Optician
- Canoga Park, CA
National Provider Identifier
1255984191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 41037
- Practice address
- 22323 Sherman Way Ste 14
Canoga Park, CA 91303-4310 - Phone
- (818) 886-5447
- Fax
- (818) 232-7041
- NPI assigned
- Jul 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 41037 | CA | Primary |
Addresses
Primary practice location
22323 Sherman Way Ste 14
Canoga Park, CA 91303-4310
Mailing address
22323 Sherman Way Ste 14
Canoga Park, CA 91303-4310
Phone (818) 886-5447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41037 | CA | MD | Pharmacist |
Interoperability endpoints
- cmendoza@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1255984191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22323 SHERMAN WAY STE 14",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913034310",
"telephone_number": "818-886-5447",
"fax_number": "818-232-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22323 SHERMAN WAY STE 14",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913034310",
"telephone_number": "818-886-5447",
"fax_number": "818-232-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "CARLOS",
"middle_name": "F",
"credential": "SLD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "41037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.