Anahi Lizbeth Gamino Mendoza, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95019401 Issued in CA

Practice address

7755 La Mesa Way
Buena Park, CA 90620-2327

Phone

(562) 209-0160

NPI assigned

Jan 25, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1376173666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 LA MESA WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 LA MESA WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202327",
            "telephone_number": "562-209-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ANAHI LIZBETH",
        "middle_name": "GAMINO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "95075611",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meds Envy Inc
• Medsacu
• Megalife, Inc.
• Melissa Melara, PPS
• Melinda R. Menchavez, PT
• Baltazar Mendoza, R.D.A
• Heidi Mendoza
• Dustin Mercado, PT, DPT
• Mercedes B Samson, M.D., Inc.
• Nicole Merizan-Aguayo, ASCWS

• Nurse Practitioner in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.