Active NPI
Irlanda Mendez, PAC
- Medical Physician Assistant
- Los Angeles, CA
National Provider Identifier
1306236757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 15303
- Practice address
- 510 S Alvarado St
Los Angeles, CA 90057-2904 - Phone
- (213) 483-3600
- Fax
- (213) 483-4555
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15303 | CA | Primary |
Addresses
Primary practice location
510 S Alvarado St
Los Angeles, CA 90057-2904
Mailing address
510 S Alvarado St
Los Angeles, CA 90057-2904
Phone (213) 483-3600
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15303 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1306236757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572904",
"telephone_number": "213-483-3600",
"fax_number": "213-483-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572904",
"telephone_number": "213-483-3600",
"fax_number": "213-483-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "IRLANDA",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "15303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.