Individual provider Active NPI

Flordeliza Santos Mendoza, ACNPC-AG, FNP-C

  • Acute Care Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1326505108
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95010224 Issued in CA
Practice address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone
(760) 340-3911
Fax
(760) 773-1676
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPF95010224 CA
Acute Care Nurse Practitioner 363LA2100X 95010224 CA Primary

Addresses

Primary practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other practice location 1

380 E Paseo El Mirador
Palm Springs, CA 92262-4842
Phone (760) 323-6316

Other practice location 2

35900 Bob Hope Dr Ste 230
Rancho Mirage, CA 92270-1767
Phone (760) 324-2800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000075 CA Practitioner - Nurse Practitioner 3375958713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite E317
Palm Springs, CA 92262-4809
Phone (760) 621-0145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
97.68
Improvement activities
40
Cost
62.65

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010224CAMDAcute Care Nurse Practitioner
NPF95010224CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primehealth 360 Inc Current Accepting new patients
Eisenhower Medical Center CurrentSince Feb 1, 2021 Accepting new patients
Desert Trauma Surgeons, Inc. CurrentSince May 22, 2021 Accepting new patients
Eisenhower Medical Center CurrentSince Feb 1, 2021 Accepting new patients

Locations

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

380 E Paseo El Mirador
Palm Springs, CA 92262
Phone (760) 323-6316

1180 N Indian Canyon Dr
Ste E317
Palm Springs, CA 92262
Phone (760) 416-5023

35900 Bob Hope Dr
Ste 230
Rancho Mirage, CA 92270
Phone (760) 324-2800

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

39000 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

Organizations & group practices 5

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.

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1326505108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-1676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 E Paseo El Mirador",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624842",
            "country_code": "US",
            "telephone_number": "760-323-6316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35900 Bob Hope Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922701767",
            "country_code": "US",
            "telephone_number": "760-324-2800",
            "fax_number": "760-324-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "FLORDELIZA",
        "middle_name": "SANTOS",
        "name_prefix": "Ms.",
        "credential": "ACNPC-AG, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95010224",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95010224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.