Active NPI
Maria Luisa Mendoza, NURSE PRACTITIONER
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1316916398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 369910
- Practice address
- 1120 W Washington Blvd
Los Angeles, CA 90015-3316 - Phone
- (213) 623-2225
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 369910 | CA | Primary |
Addresses
Primary practice location
1120 W Washington Blvd
Los Angeles, CA 90015-3316
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 954-7672
Other practice location 1
2750 E Slauson Ave
Huntington Park, CA 90255-3063
Phone (702) 877-5119
Other practice location 2
1025 W Olympic Blvd
Los Angeles, CA 90015-1329
Phone (213) 623-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 369910 | CA | MD | Family Nurse Practitioner |
Interoperability endpoints
- mmendoza206961@westdirect.optum.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1316916398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-954-7672",
"fax_number": "213-861-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153316",
"telephone_number": "213-623-2225"
}
],
"practiceLocations": [
{
"address_1": "2750 E Slauson Ave",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902553063",
"country_code": "US",
"telephone_number": "702-877-5119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 W Olympic Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900151329",
"country_code": "US",
"telephone_number": "213-623-2225",
"fax_number": "213-861-5937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "MARIA",
"middle_name": "LUISA",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "369910",
"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 Aug 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.