Active NPI
Rachel Marie Mendoza, PA-C
- Physician Assistant
- Lompoc, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19915
- Practice address
- 217 W Central Ave Ste G
Lompoc, CA 93436-2830 - Phone
- (805) 735-4292
- Fax
- (805) 735-4293
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19915 | CA | Primary |
Addresses
Primary practice location
217 W Central Ave Ste G
Lompoc, CA 93436-2830
Mailing address
217 W Central Ave Ste G
Lompoc, CA 93436-2830
Phone (805) 735-4292
Other practice location 1
1102 E Clark Ave Ste 120A
Santa Maria, CA 93455-5175
Phone (805) 332-8185
Other practice location 2
1992 Old Mission Dr Ste 140
Solvang, CA 93463-2302
Phone (805) 614-5690
Other practice location 3
2271 S Depot St
Santa Maria, CA 93455-1216
Phone (805) 922-0561
Other practice location 4
877 Oak Park Blvd
Pismo Beach, CA 93449-3292
Phone (805) 474-8450
Other practice location 5
5920 West Mall
Atascadero, CA 93422-4232
Phone (805) 466-0676
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1084058 | Other | CA | THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANT |
| 19915 | Other | CA | CALIFORNIA STATE PHYSICIAN ASSISTANT LICENSE |
Other names 1
- Mrs. Rachel Marie Craig
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081103000494 | CA | Practitioner - Physician Assistant | 8921167131 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Central Coast Health Centers
Practice addresses (Care Compare)
117 W Bunny Ave
Santa Maria, CA 93458-2805
Phone (805) 739-3890
1510 E Main St
Suite 104 C
Santa Maria, CA 93454-4825
Phone (805) 349-8514
217 W Central Ave
Suite G
Lompoc, CA 93436-2830
Phone (805) 735-4292
Hospital & facility affiliations
- Marian Regional Medical Center
- Lompoc Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19915 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Locations
5920 West Mall
Atascadero, CA 93422
Phone (805) 466-0676
217 W Central Ave
Ste G
Lompoc, CA 93436
Phone (805) 735-4292
877 Oak Park Blvd
Pismo Beach, CA 93449
Phone (805) 473-2200
215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765
1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112
1400 E Church St
Ofc
Santa Maria, CA 93454
Phone (805) 739-3112
1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514
117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474
1102 E Clark Ave
Ste 120A
Santa Maria, CA 93455
Phone (805) 332-8185
2271 S Depot St
Santa Maria, CA 93455
Phone (805) 922-0561
Organizations & group practices 15
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.
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
CA
-
- Community Health Clinic/Center
- Arroyo Grande, CA
- NPI 1831764117
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1023523990
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1306225941
-
- Community Health Clinic/Center
- Lompoc, CA
- NPI 1417294455
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1760723910
-
- Community Health Clinic/Center
- Morro Bay, CA
- NPI 1821487414
-
- Community Health Clinic/Center
- Pismo Beach, CA
- NPI 1831544311
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1841548880
-
- Community Health Clinic/Center
- Atascadero, CA
- NPI 1932598521
-
- Community Health Clinic/Center
- Templeton, CA
- NPI 1225428600
Hospital & facility affiliations 2
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": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1316196322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 W CENTRAL AVE STE G",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934362830",
"telephone_number": "805-735-4292",
"fax_number": "805-735-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W CENTRAL AVE STE G",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934362830",
"telephone_number": "805-735-4292",
"fax_number": "805-735-4293"
}
],
"practiceLocations": [
{
"address_1": "1102 E Clark Ave Ste 120A",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934555175",
"country_code": "US",
"telephone_number": "805-332-8185",
"fax_number": "805-332-8186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1992 Old Mission Dr Ste 140",
"address_purpose": "LOCATION",
"city": "Solvang",
"state": "CA",
"postal_code": "934632302",
"country_code": "US",
"telephone_number": "805-614-5690",
"fax_number": "805-614-5691",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2271 S Depot St",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934551216",
"country_code": "US",
"telephone_number": "805-922-0561",
"fax_number": "805-922-0083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "877 Oak Park Blvd",
"address_purpose": "LOCATION",
"city": "Pismo Beach",
"state": "CA",
"postal_code": "934493292",
"country_code": "US",
"telephone_number": "805-474-8450",
"fax_number": "805-474-8454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5920 West Mall",
"address_purpose": "LOCATION",
"city": "Atascadero",
"state": "CA",
"postal_code": "934224232",
"country_code": "US",
"telephone_number": "805-466-0676",
"fax_number": "805-466-4862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "RACHEL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANT",
"identifier": "1084058",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE PHYSICIAN ASSISTANT LICENSE",
"identifier": "19915",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "CRAIG",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.