Individual provider Active NPI

Margarita Mendoza, DDS

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1356646350
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60090 Issued in CA
Practice address
40620 Winchester Rd
Suite B
Temecula, CA 92591-5504
Phone
(909) 896-3913
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60090 CA Primary

Addresses

Primary practice location

40620 Winchester Rd
Suite B
Temecula, CA 92591-5504

Mailing address

14835 Little Creek CT
Chino Hills, CA 91709-3476
Phone (909) 896-3913

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811005642 CA Order and Referring Only - DentistPractitioner - Dentist 3779898382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1356646350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14835 LITTLE CREEK CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093476",
            "telephone_number": "909-896-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40620 WINCHESTER RD",
            "address_2": "SUITE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915504",
            "telephone_number": "909-896-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARGARITA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.