Individual provider Active NPI

Sheila Malapad Mendoza, NP

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1396242665
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
95010368 Issued in CA
Practice address
2701 F St
Bakersfield, CA 93301-1817
Phone
(661) 322-3008
Fax
(661) 322-5507
NPI assigned
Apr 12, 2018
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 95010368 CA Primary

Addresses

Primary practice location

2701 F St
Bakersfield, CA 93301-1817

Mailing address

2701 F St
Bakersfield, CA 93301-1817
Phone (661) 322-4008

Other identifiers 3

IdentifierTypeStateIssuer
0OtherNOT AVAILABLE
1396242665MedicaidCA
1392642665MedicaidCA

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000220 CA Practitioner - Nurse Practitioner 7517207566 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010368CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Envista Medical Neck and Back Center, P.C. Single Specialty CurrentSince Dec 16, 2020 Accepting new patients
Kern County Neurological Medical Group, Inc Single Specialty CurrentSince Oct 27, 2020 Accepting new patients
Golden Hospice, Inc. Current Accepting new patients
Circle of Friends Palliative Care Inc. Current Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
J. Foster Campbell MD Inc Single Specialty PastSince Feb 1, 2020 Accepting new patients
Jared Salvo, D.O., a Professional Corporation Single Specialty PastSince Aug 1, 2021 Accepting new patients

Locations

1705 28th St
Bakersfield, CA 93301
Phone (661) 322-3008

1711 28th St
Ste B
Bakersfield, CA 93301
Phone (661) 322-3008

2701 F St
Bakersfield, CA 93301
Phone (661) 322-3008

3900 Coffee Rd
Ste 3
Bakersfield, CA 93308
Phone (661) 587-0700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1396242665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 F ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011817",
            "telephone_number": "661-322-4008",
            "fax_number": "661-479-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 F ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011817",
            "telephone_number": "661-322-3008",
            "fax_number": "661-322-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SHEILA",
        "middle_name": "MALAPAD",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "95010368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396242665",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1392642665",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.