Active NPI
Maira Luisa Vera Mendoza
- Case Manager/Care Coordinator
- Fresno, CA
National Provider Identifier
1316319684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.