Lee Mendiola, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A70860 Issued in CA

Practice address

1752 S Victoria Ave
Suite 250
Ventura, CA 93003-6192

Phone

(805) 650-3880

Fax

(805) 650-3887

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lee D. Mendiola MD PC

  • Psychiatry Physician
  • Ventura, CA
  • NPI 1447343710
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1427099431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6519",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930066519",
            "telephone_number": "805-650-3880",
            "fax_number": "805-650-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 S VICTORIA AVE",
            "address_2": "SUITE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036192",
            "telephone_number": "805-650-3880",
            "fax_number": "805-650-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A70860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianni Alexus Mendez
• Isabella Victoria Rose Mendez
• Kerenhapuc Sarai Mendez
• Nydia Mendez, LMFT
• Rosa Maria Mendez
• Annette H Mendoza-McCoy, LMFT
• Laura-Renee Mendoza, LMFT
• Nancy Mendoza
• Rene Nicole Mendoza, LMFT 156493
• Vincent Anthony Mendoza Jr.

• Psychiatry Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.