Individual provider Active NPI

Verenice Mendoza

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1477461804
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
310893 Issued in CA
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

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.