Individual provider Active NPI

Jennifer Marie Mendoza

  • Social Worker
  • Lamont, CA
National Provider Identifier
1396498127
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
134223 Issued in CA
Practice address
10417 Main St
Lamont, CA 93241-1726
Phone
(661) 845-5100
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 134223 CA Primary

Addresses

Primary practice location

10417 Main St
Lamont, CA 93241-1726

Mailing address

10417 Main St
Lamont, CA 93241-1726
Phone (661) 845-5100

Other practice location 1

3001 Sillect Ave
Bakersfield, CA 93308-6337
Phone (661) 316-6000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125004372 CA Practitioner - Clinical Social Worker 3375035470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1559
Bakersfield, CA 93302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134223CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Nov 13, 2025 Accepting new patients
Clinica Sierra Vista CurrentSince Nov 13, 2025 Accepting new patients
Clinica Sierra Vista Social Worker PastSince Feb 6, 2022 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (661) 328-4284

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1396498127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10417 MAIN ST",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411726",
            "telephone_number": "661-845-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10417 MAIN ST",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411726",
            "telephone_number": "661-845-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Sillect Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933086337",
            "country_code": "US",
            "telephone_number": "661-316-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "134223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamont, CA

Sources for this page

Verify at the official NPI Registry.