Mending Bridges LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MENDING BRIDGES LLC

Practice address

430 N State College Blvd
Unit a and C
Anaheim, CA 92806-2916

Phone

(657) 216-4133

NPI assigned

Oct 31, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Miguel Ureta Jr.

Title

Ceo

Phone

(657) 216-4133

Specialties & licenses 4

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mending Bridges LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mending Bridges LLC

  • Substance Abuse Rehabilitation Facility
  • Mission Viejo, CA
  • NPI 1871352492
  NPD tax ID

Locations

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1356163299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 FERNLEAF LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813677",
            "telephone_number": "657-216-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N STATE COLLEGE BLVD",
            "address_2": "UNIT A AND C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062916",
            "telephone_number": "657-216-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING BRIDGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "URETA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-216-4133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana C Mendez
• Edgar Mendez
• Erica Mendez
• Isabel Flores Mendez, COTA
• Jenika Mendez
• Jazmin Mendiola
• Joanna Mendiola
• Alejandra Mendoza
• Cherry Rose Mendoza, PA-C
• Debra Mendoza

• Substance Abuse Rehabilitation Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.