NPIMap

Organization Active NPI

Raul Y. Mendoza, MD Inc

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1396285607
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RAUL Y. MENDOZA, MD INC
Practice address
5500 Ming Ave Ste 210
Bakersfield, CA 93309-9120
Phone
(661) 834-8341
Fax
(661) 834-6095
NPI assigned
Mar 6, 2017
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Christine Weatherly
Title
Office Manager
Phone
(661) 834-8341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5500 Ming Ave Ste 210
Bakersfield, CA 93309-9120

Mailing address

5500 Ming Ave Ste 210
Bakersfield, CA 93309-9120
Phone (661) 834-8341

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1396285607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 210",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099120",
            "telephone_number": "661-834-8341",
            "fax_number": "661-834-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 210",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099120",
            "telephone_number": "661-834-8341",
            "fax_number": "661-834-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL Y. MENDOZA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "WEATHERLY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-834-8341"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.