Oscar Mendoza Gonzalez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116344 Issued in FL

Practice address

8875 NW 23Rd St
Doral, FL 33172-2419

Phone

(305) 653-5155

NPI assigned

Sep 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1508587064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4783 E 9TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132025",
            "telephone_number": "786-257-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 NW 23RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722419",
            "telephone_number": "305-653-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA GONZALEZ",
        "first_name": "OSCAR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaqueline Mena, LMT
• Thaimara Mendez Pena
• Cristina Valentina Mendez
• Dalia Isabel Mendez
• Luisa N Mendez, RMHCI
• Alexis N Mendoza, CRNA
• Genesis Marian Mendoza
• Greuly Mendoza
• Marlene Menendez, RN
• Miguel Javier Menendez, MD

• Physician Assistant in Doral, FL
• Providers in Doral, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.