Ike Mendoza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22445 Issued in CA

Practice address

10927 Downey Ave
Ste C
Downey, CA 90241

Phone

(562) 861-6180

Fax

(951) 694-0553

NPI assigned

Apr 7, 2008

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charles Kodimer PHD Psychological

  • Clinical Psychologist
  • Downey, CA
  • NPI 1891749727
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1467625863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2435",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925932435",
            "telephone_number": "951-676-4393",
            "fax_number": "951-694-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10927 DOWNEY AVE",
            "address_2": "STE C",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-861-6180",
            "fax_number": "951-694-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "IKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianita Mendez
• Jasmine Letrece Mendiola
• Maria Guadalupe Mendoza Godinez
• Bianca J Mendoza
• Elisa Mendoza, RRT-NPS
• Ilian Omar Mendoza
• John Mendoza, DPO II
• Nicholas Franklin Mendoza, PHARM.D.
• Ricardo Enrique Mendoza I
• Roberto Arturo Mendoza, P.A.

• Clinical Social Worker in Downey, CA
• Providers in Downey, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.