Active NPI
James Aldrich Mendoza, D.P.T.
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1417345539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42086
- Practice address
- 2820 N Bellflower Blvd
Long Beach, CA 90815-1125 - Phone
- (562) 384-4525
- NPI assigned
- Dec 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42086 | CA | Primary |
Addresses
Primary practice location
2820 N Bellflower Blvd
Long Beach, CA 90815-1125
Mailing address
5050 E Garford St Apt 259
Long Beach, CA 90815-5819
Phone (949) 751-8285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42086 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1417345539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 E GARFORD ST APT 259",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908155819",
"telephone_number": "949-751-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 N BELLFLOWER BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151125",
"telephone_number": "562-384-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JAMES",
"middle_name": "ALDRICH",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-23",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.