Ann M Mendenhall, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

52613 Issued in CA

Practice address

3 Vallejo Ave
Point Reyes Station, CA 94956

Phone

(206) 595-1271

NPI assigned

Jul 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• FRN San Francisco, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Francisco, CA
  • NPI 1093145005
  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1316320682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949560523",
            "telephone_number": "206-595-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VALLEJO AVE",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "206-595-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICIAN ASSISTANT BOARD",
            "identifier": "52613",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharina Sandizell Marriage Family Therapy PC
• Tracy Ellen Krinard, DO
• Bryan Lambert
• Megan Landeck, NP
• Marin Healthcare District
• Sheryl Morgan
• Lesley Ann Osman, MFT
• Halle M Ostman, RN
• Lemny Perez, M.A.
• Petaluma Health Center Inc

• Medical Physician Assistant in Point Reyes Station, CA
• Providers in Point Reyes Station, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.