Organization Active NPI

Rita Narain-Mendoza, O.D., Inc.

  • Optometrist
  • Vallejo, CA
National Provider Identifier
1609187525
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13113T Issued in CA
Legal business name
RITA NARAIN-MENDOZA, O.D., INC.
Practice address
2623 Springs Rd
Vallejo, CA 94591-5712
Phone
(707) 643-8202
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Rita Narain-Mendoza, O.D.NPI 1720198971
Title
Ceo
Phone
(707) 643-8202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13113T CA Primary

Addresses

Primary practice location

2623 Springs Rd
Vallejo, CA 94591-5712

Mailing address

2623 Springs Rd
Vallejo, CA 94591-5712
Phone (707) 643-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908000273 CA Part B Supplier - Clinic/Group Practice 3870617244 Receives reassigned benefits from 2 practitioners
Practice locations: Vallejo, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1609187525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915712",
            "telephone_number": "707-643-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915712",
            "telephone_number": "707-643-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA NARAIN-MENDOZA, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "NARAIN-MENDOZA",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-643-8202",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13113T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.