Active NPI
Lisa Mendoza
- Licensed Vocational Nurse
- Santa Ana, CA
National Provider Identifier
1326921164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 752923
- Practice address
- 2001 E 4TH St Ste 200
Santa Ana, CA 92705-3916 - Phone
- (714) 474-3807
- NPI assigned
- Jul 29, 2025
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 752923 | CA | Primary |
Addresses
Primary practice location
2001 E 4TH St Ste 200
Santa Ana, CA 92705-3916
Mailing address
2001 E 4TH St Ste 200
Santa Ana, CA 92705-3916
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 752923 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1326921164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 E 4TH ST STE 200",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E 4TH ST STE 200",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053916",
"telephone_number": "714-474-3807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "752923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.