Eric Lionel Mendoza, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10946 Issued in CA

Practice address

15243 Vanowen St
Suite 107
Van Nuys, CA 91405-3605

Phone

(818) 849-6613

NPI assigned

Aug 27, 2015

Sex

Male

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1265809032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 BLUCHER AVE",
            "address_2": "UNIT #173",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443249",
            "telephone_number": "818-741-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053605",
            "telephone_number": "818-849-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ERIC",
        "middle_name": "LIONEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Rose Mendoza
• Berta Isabel Mendoza I
• Brianna Mendoza
• Christopher Mendoza
• Cynthia Mendoza
• Gabriela Edith Mendoza
• Ingrid Mercedes Mendoza, M.A., BCBA
• Jan Adrian Igtanloc Mendoza, RN
• Ma Amelyn Barcenas Mendoza
• Martha Mendoza

• Physical Therapy Assistant in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.