NPIMap

Organization Active NPI

Lee D. Mendiola MD PC

  • Psychiatry Physician
  • Ventura, CA
National Provider Identifier
1447343710
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A70860 Issued in CA
Legal business name
LEE D. MENDIOLA MD PC
Practice address
1752 S Victoria Ave
Suite 250
Ventura, CA 93003-6192
Phone
(805) 650-3880
Fax
(805) 650-3887
NPI assigned
Oct 1, 2006
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Lee D Mendiola, MDNPI 1427099431
Title
President
Phone
(805) 650-3880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A70860 CA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 6519
Ventura, CA 93006-6519
Phone (805) 650-3880

National Provider Directory

National Provider Directory

Locations

1752 S Victoria Ave
Ste 250
Ventura, CA 93003
Phone (805) 512-2542

Practitioners & affiliated clinicians

Practitioners 7

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": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1447343710",
    "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": {
        "organization_name": "LEE D. MENDIOLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-650-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A70860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.