Active NPI
Jorge Mendez
- Clinical Psychologist
- Royal Oaks, CA
National Provider Identifier
1487919627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30092
- Practice address
- 606 Hidden Valley Rd
Royal Oaks, CA 95076-9295 - Phone
- (714) 501-2738
- NPI assigned
- Jul 12, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30092 | CA | Primary |
Addresses
Primary practice location
606 Hidden Valley Rd
Royal Oaks, CA 95076-9295
Mailing address
PO Box 342
Orangevale, CA 95662-0342
Phone (714) 501-2738
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 |
|---|---|---|---|
| PSY30092 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1487919627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 342",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956620342",
"telephone_number": "714-501-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 HIDDEN VALLEY RD",
"city": "ROYAL OAKS",
"state": "CA",
"postal_code": "950769295",
"telephone_number": "714-501-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "JORGE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.