Active NPI
Maria M Mendez
- Other Technician
- Upland, CA
National Provider Identifier
1467598136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 56086
- Practice address
- 1607 N Mountain Ave
Upland, CA 91784-1732 - Phone
- (909) 985-0916
- Fax
- (909) 985-0893
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 56086 | CA | Primary |
Addresses
Primary practice location
1607 N Mountain Ave
Upland, CA 91784-1732
Mailing address
15443 Pine Ave
Fontana, CA 92335-4354
Phone (951) 360-9793
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56086 | CA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhargav Chimanlal Patel | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Upland, CA
- NPI 1295889509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467598136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15443 PINE AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354354",
"telephone_number": "951-360-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841732",
"telephone_number": "909-985-0916",
"fax_number": "909-985-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "MARIA",
"middle_name": "M",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "56086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.