Individual provider Active NPI

Marilou Abellana Mendoza, NP

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1528307659
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95009540 Issued in CA
Practice address
7829 Mission Point LN
Las Vegas, NV 89149-5143
Phone
(702) 300-4421
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 001480 NV
Primary Care Nurse Practitioner 363LP2300X 809970 CA
Primary Care Nurse Practitioner 363LP2300X 95009540 CA Primary

Addresses

Primary practice location

7829 Mission Point LN
Las Vegas, NV 89149-5143

Mailing address

7829 Mission Point LN
Las Vegas, NV 89149-5143
Phone (702) 300-4421

Other practice location 1

3550 Q St Ste 201-202
Bakersfield, CA 93301-1662
Phone (702) 997-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000276 NV Practitioner - Nurse Practitioner 2961644901 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
809970CAMDPrimary Care Nurse Practitioner
001480NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nevada Adult Mental Health CurrentSince Jul 1, 2013 Accepting new patients
Behavioral Health Solutions LLC Current Accepting new patients
Homebase Care Casal PLLC CurrentSince Aug 1, 2019 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Dec 14, 2019 Accepting new patients
House Call Dr Regalado PLLC CurrentSince Apr 15, 2014 Accepting new patients
Jam Healthcare Inc CurrentSince Mar 10, 2022 Accepting new patients
State of Nevada CurrentSince Jul 1, 2013 Accepting new patients
Behavioral Health Solutions LLC CurrentSince Dec 14, 2019 Accepting new patients
Jingle Ching Kavinta PLLC CurrentSince Jun 15, 2021 Accepting new patients
Medtrans Medical Nevada Casal PLLC CurrentSince Aug 1, 2019 Accepting new patients
State of Nevada Current Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

2831 Saint Rose Pkwy
Ste 200
Henderson, NV 89052
Phone (702) 355-9024

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

1811 S Rainbow Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 858-7087

5412 Boulder Hwy
Las Vegas, NV 89122

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

2801 S Valley View Blvd
Ste 4
Las Vegas, NV 89102
Phone (702) 780-6768

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1528307659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 MISSION POINT LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891495143",
            "telephone_number": "702-300-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 MISSION POINT LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891495143",
            "telephone_number": "702-300-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Q St Ste 201-202",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933011662",
            "country_code": "US",
            "telephone_number": "702-997-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARILOU",
        "middle_name": "ABELLANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "001480",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "809970",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95009540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.