Brandon Mendoza

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1815 E Valley Pkwy Ste 5
Escondido, CA 92027-2550

Phone

(760) 233-9655

Fax

(760) 233-9648

NPI assigned

Feb 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1669420980

  Multi-Specialty

  Medicare reassignment NPD
• Soma Physical Therapy Inc

  • Clinic/Center
  • San Marcos, CA
  • NPI 1801548409

  Physical Therapist

  Medicare reassignment NPD
• New Life Physical Therapy Services, PC

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1285160788
  Medicare reassignment
• Barbara Jean Boutelle Carlsbad Physical Therapy

  dba San Luis Rey Physical Therapy and Hand Center

  • Physical Therapist
  • Oceanside, CA
  • NPI 1255007050
  NPD
• Barbara Jean Boutelle/Carlsbad Physical Therapy

  dba Tri City Physical Therapy and Hand Center

  • Physical Therapist
  • Vista, CA
  • NPI 1003864414

  Multi-Specialty

  NPD
• Barbara Jean Boutelle Carlsbad Physical Therapy

  dba Scripps Ranch Physical Therapy and Hand Center

  • Physical Therapist
  • San Diego, CA
  • NPI 1699723098

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1497211163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-471-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E VALLEY PKWY STE 5",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272550",
            "telephone_number": "760-233-9655",
            "fax_number": "760-233-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 Madison St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920082310",
            "country_code": "US",
            "telephone_number": "760-591-7750 x227",
            "fax_number": "760-471-5139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Nordahl Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920693545",
            "country_code": "US",
            "telephone_number": "760-432-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4335 Pacifica Way Unit 1",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920565725",
            "country_code": "US",
            "telephone_number": "858-444-6531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296496",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticePro",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PracticePro",
            "address_1": "1815 E Valley Pkwy Ste 5",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920272550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kendra Janniece Meler
• Christina Mena
• Daisy Veronica Mendez
• Cindy Mendiola
• Lilia Mendivil, BC, RN
• Cristian Mendoza, ASW
• Elizabeth Mendoza
• Rosalva Mendoza, LVN
• Emily Meneses
• Mental Health Systems, Inc. (BPSR Kinesis North)

• Physical Therapist in Escondido, CA
• Providers in Escondido, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.