Individual provider Active NPI

Marcelo Mendoza, MD

  • Anesthesiology Physician
  • Bakersfield, CA
National Provider Identifier
1467417519
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
56081 Issued in CA
Practice address
2615 Chester Ave
Bakersfield, CA 93301-2014
Phone
(661) 395-3000
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 56081 CA Primary

Addresses

Primary practice location

2615 Chester Ave
Bakersfield, CA 93301-2014

Mailing address

2635 G St
Bakersfield, CA 93301-2813
Phone (661) 633-2300

Other identifiers 1

IdentifierTypeStateIssuer
2004015169OtherMOPHYSICIANS LICENSE

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109001176 CA Practitioner - Anesthesiology 5193791655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comfort Anesthesia Associates IncGroup PAC ID 6002975489, 77 clinicians

Practice addresses (Care Compare)

1401 Garces Hwy
Delano, CA 93215-3690
Phone (661) 725-4800

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56081CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Valley Anesthesia Associates, Inc. Anesthesiology CurrentSince Jul 3, 2018 Accepting new patients
Comfort Anesthesia Associates Inc Anesthesiology CurrentSince Jul 3, 2018 Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

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

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1467417519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012813",
            "telephone_number": "661-633-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012014",
            "telephone_number": "661-395-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARCELO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "56081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS LICENSE",
            "identifier": "2004015169",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.