Individual provider Active NPI

Laura Elizabeth Mendoza, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1528773926
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112318 Issued in CA
Practice address
5101 Market Street
Suite 2300
San Diego, CA 92114-1152
Phone
(588) 351-6000
NPI assigned
Jan 19, 2023
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 112318 CA Primary

Addresses

Primary practice location

5101 Market Street
Suite 2300
San Diego, CA 92114-1152

Mailing address

5469 Kearny Villa Rd
San Diego, CA 92123-1152

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego CurrentSince Mar 24, 2024 Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

5101 Market St
Ste 2300
San Diego, CA 92114
Phone (858) 351-6000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1528773926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5469 KEARNY VILLA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MARKET STREET",
            "address_2": "SUITE 2300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921141152",
            "telephone_number": "588-351-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.