Individual provider Active NPI

Maira Luisa Vera Mendoza

  • Case Manager/Care Coordinator
  • Fresno, CA
National Provider Identifier
1316319684
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2140 Merced St Ste 101
Fresno, CA 93721-1721
Phone
(559) 558-4051
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2140 Merced St Ste 101
Fresno, CA 93721-1721

Mailing address

3707 E Shields Ave
Fresno, CA 93726-7029
Phone (559) 229-9040

Other practice location 1

3707 E Shields Ave
Fresno, CA 93726-7029
Phone (559) 229-9040

Other practice location 2

3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229
Phone (559) 558-4051

Other practice location 3

496 S. Barton St.
Fresno, CA 93702
Phone (559) 558-4051

Other practice location 4

4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604
Phone (559) 558-4051

Other practice location 5

2934 N Fresno St
Fresno, CA 93703-1123
Phone (559) 558-4051

Other practice location 6

3122 N Millbrook Ave
Fresno, CA 93703-1458
Phone (559) 225-9117

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1316319684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267029",
            "telephone_number": "559-229-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MERCED ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211721",
            "telephone_number": "559-558-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267029",
            "country_code": "US",
            "telephone_number": "559-229-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3433 W Shaw Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113229",
            "country_code": "US",
            "telephone_number": "559-558-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 S. Barton St.",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93702",
            "country_code": "US",
            "telephone_number": "559-558-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 E Kings Canyon Rd # 319",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-558-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2934 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031123",
            "country_code": "US",
            "telephone_number": "559-558-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3122 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031458",
            "country_code": "US",
            "telephone_number": "559-225-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERA MENDOZA",
        "first_name": "MAIRA",
        "middle_name": "LUISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.