Individual provider Active NPI

Manuel Faigal Mendoza, M.D.

  • Specialist
  • Norwalk, CA
National Provider Identifier
1295824654
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A53896 Issued in CA
Practice address
11735 Firestone Blvd
Norwalk, CA 90650
Phone
(562) 925-7716
Fax
(562) 867-0665
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A53896 CA
Specialist 174400000X A53896 CA Primary

Addresses

Primary practice location

11735 Firestone Blvd
Norwalk, CA 90650

Mailing address

11735 Firestone Blvd
Norwalk, CA 90650
Phone (562) 925-7716

Other identifiers 1

IdentifierTypeStateIssuer
00A538962MedicaidCA

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
I20080311000621 CA Practitioner - Family PracticePractitioner - Pediatric Medicine 1456436781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manuel F Mendoza MD IncGroup PAC ID 9537244769, 7 clinicians

Practice addresses (Care Compare)

11735 Firestone Blvd
Norwalk, CA 90650-2808
Phone (562) 925-7716

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53896CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel F. Mendoza, M.D., Inc Specialist CurrentSince Feb 1, 1999 Accepting new patients
Manuel F Mendoza MD Inc Current Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients
Dignity Health Past Accepting new patients
Feliciano Navalta Jr., M.D. a Medical Corporation PastSince May 1, 2000 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

16323 Clark Ave
Bellflower, CA 90706
Phone (562) 925-7716

11735 Firestone Blvd
Norwalk, CA 90650
Phone (562) 925-7716

16660 Paramount Blvd
Ste 306
Paramount, CA 90723
Phone (562) 633-1404

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mmendoza@manuelfmendozamdinc.adaptamed.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1295824654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-925-7716",
            "fax_number": "562-867-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-925-7716",
            "fax_number": "562-867-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MANUEL",
        "middle_name": "FAIGAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-07-10",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53896",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A53896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A538962",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.