Fredric Steven Mendes, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A24300 Issued in CA

Practice address

2322 Ninth Avenue
San Francisco, CA 94116-1937

Phone

(415) 759-1979

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1356319032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 NINTH AVENUE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161937",
            "telephone_number": "415-759-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 NINTH AVENUE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161937",
            "telephone_number": "415-759-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "FREDRIC",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A24300",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A24300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A243000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tirtha Mendake, D.C, L.AC
• Lori Mendelsohn, MD
• Andrew Crockett Mendelson, NP
• John Edward Mendelson, MD
• Terrie Mendelson, M.D.
• Jacelyn Mendes, MA, BCBA
• Nora Mendes, RN
• Luz Mendez Reyes
• Sabrina Isabel Mendez-Contreras, MD
• Abril Mendez, M.S., CCC-SLP

• Anatomic Pathology & Clinical Pathology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.