Active NPI
Verenice Mendoza
- Physical Therapist
- Chula Vista, CA
National Provider Identifier
1477461804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310893
- Practice address
- 1016 Broadway Ste 2
Chula Vista, CA 91911-1803 - Phone
- (858) 755-5200
- Fax
- (619) 739-4701
- NPI assigned
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 310893 | CA | Primary |
Addresses
Primary practice location
1016 Broadway Ste 2
Chula Vista, CA 91911-1803
Mailing address
380 Stevens Ave Ste 314
Solana Beach, CA 92075-2069
Phone (858) 755-5200
Other practice location 1
760 13th St
Imperial Beach, CA 91932-2308
Phone (858) 755-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1477461804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 STEVENS AVE STE 314",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920752069",
"telephone_number": "858-755-5200",
"fax_number": "858-755-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 BROADWAY STE 2",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111803",
"telephone_number": "858-755-5200",
"fax_number": "619-739-4701"
}
],
"practiceLocations": [
{
"address_1": "760 13th St",
"address_purpose": "LOCATION",
"city": "Imperial Beach",
"state": "CA",
"postal_code": "919322308",
"country_code": "US",
"telephone_number": "858-755-5200",
"fax_number": "619-941-2681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "VERENICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.