Active NPI
Linda Evelyn Mendoza, NURSE PRACTITIONER
- Nurse Practitioner
- Orange, CA
National Provider Identifier
1588949887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP20908
- Practice address
- 810 W Collins Ave
Orange, CA 92867-5516 - Phone
- (714) 532-7571
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NP20908 | CA | |
| Nurse Practitioner | 363L00000X | NP20908 | CA | Primary |
Addresses
Primary practice location
810 W Collins Ave
Orange, CA 92867-5516
Mailing address
810 W Collins Ave
Orange, CA 92867-5516
Phone (714) 532-7571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP20908 | Other | CA | CA. BOARD OF NURSING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP20908 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1588949887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 W COLLINS AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675516",
"telephone_number": "714-532-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 W COLLINS AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675516",
"telephone_number": "714-532-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "LINDA",
"middle_name": "EVELYN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-18",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "NP20908",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP20908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA. BOARD OF NURSING",
"identifier": "NP20908",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.