Individual provider Active NPI

Florentina Armanda Mendoza-Jimenez

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1497545677
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100362 Issued in CA
Practice address
9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592
Phone
(831) 235-8352
NPI assigned
May 9, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 100362 CA
Clinical Social Worker 1041C0700X 100362 CA Primary

Addresses

Primary practice location

9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592

Mailing address

9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592
Phone (831) 235-8352

Other practice location 1

4604A Roosevelt Ave
Sacramento, CA 95820-4520
Phone (408) 465-8280

Other practice location 2

18217 Hale Ave
Morgan Hill, CA 95037-3550
Phone (408) 465-8280

Other practice location 3

215 Huerta Ave
Greenfield, CA 93927-5762
Phone (408) 465-8280

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

LicenseStateTypeSpecialty
100362CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Psynergy Programs, Inc. Clinical PastSince Jan 21, 2024 Accepting new patients
County of Solano Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1497545677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262592",
            "telephone_number": "831-235-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262592",
            "telephone_number": "831-235-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4604A Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958204520",
            "country_code": "US",
            "telephone_number": "408-465-8280",
            "fax_number": "408-465-8280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18217 Hale Ave",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950373550",
            "country_code": "US",
            "telephone_number": "408-465-8280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Huerta Ave",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "CA",
            "postal_code": "939275762",
            "country_code": "US",
            "telephone_number": "408-465-8280",
            "fax_number": "408-465-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA-JIMENEZ",
        "first_name": "FLORENTINA",
        "middle_name": "ARMANDA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "100362",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.