Jose Israel Glavey Mendoza

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

98030 Issued in CA

Practice address

44550 Village CT Ste 103
Palm Desert, CA 92260-3817

Phone

(951) 396-1395

NPI assigned

Jul 25, 2017

Last updated

Jan 23, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Banning, CA
  • NPI 1093388480
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1376066936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44550 VILLAGE CT STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603817",
            "telephone_number": "760-507-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44550 VILLAGE CT STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603817",
            "telephone_number": "951-396-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 N Arrowhead Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011251",
            "country_code": "US",
            "telephone_number": "909-266-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "572 N Arrowhead Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011251",
            "country_code": "US",
            "telephone_number": "909-266-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAVEY MENDOZA",
        "first_name": "JOSE",
        "middle_name": "ISRAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2024-01-23",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13882",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gil, DPT
• Rachel Gileno, LMFT
• Brent Gilliard
• Anne E Gimbel, LMFT
• Steven Louis Ginex, D.P.M.
• Marisa Wileatha Glivings, PSYD
• Riya Gloyd
• GN Hearing Care Corp (Beltone Electronics Corp)
• Go Healthcare, Inc.
• Nelson T Goff, D.C., CCSP

• Marriage & Family Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.