Active NPI
Matthew Mendoza, RRT
- Registered Respiratory Therapist
- Los Angeles, CA
National Provider Identifier
1447729009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 36968
- Practice address
- 4867 Sunset Blvd, Los Angeles, Ca
Los Angeles, CA 90027 - Phone
- (323) 783-4011
- NPI assigned
- Nov 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 36968 | CA | Primary |
Addresses
Primary practice location
4867 Sunset Blvd, Los Angeles, Ca
Los Angeles, CA 90027
Mailing address
655 N Brea Blvd Apt 7
Brea, CA 92821-3322
Phone (760) 900-0510
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1447729009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 N BREA BLVD APT 7",
"city": "BREA",
"state": "CA",
"postal_code": "928213322",
"telephone_number": "760-900-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 SUNSET BLVD, LOS ANGELES, CA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-783-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MATTHEW",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "36968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.