Individual provider Active NPI

Monica Aisha Mendiola, PA-C

  • Physician Assistant
  • Citrus Heights, CA
National Provider Identifier
1619598489
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58167 Issued in CA
Practice address
5406 Sunrise Blvd Ste 3
Citrus Heights, CA 95610-7854
Phone
(800) 972-5547
Fax
(916) 887-7963
NPI assigned
May 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA58167 CA Primary

Addresses

Primary practice location

5406 Sunrise Blvd Ste 3
Citrus Heights, CA 95610-7854

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

7412 N 19th St
McAllen, TX 78504-5608
Phone (956) 207-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210802000974 CA Practitioner - Physician Assistant 1759799828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2055 Town Ctr PLZ
Suite G130
West Sacramento, CA 95691-5058
Phone (916) 887-7471

250 W Main St
Woodland, CA 95695-3652
Phone (916) 668-6100

2537 Fair Oaks Blvd
Sacramento, CA 95825-7690
Phone (916) 887-4108

2800 L St
Sacramento, CA 95816-5616

2860 Del Paso Rd
Suite 100
Sacramento, CA 95834-9677
Phone (916) 887-7471

4010 Foothills Blvd
Suite 102
Roseville, CA 95747-7241
Phone (800) 972-5547

4810 Elk Grove Blvd
Suite 180
Elk Grove, CA 95758-4191
Phone (800) 972-5547

Hospital & facility affiliations

  • Healdsburg Hospital Hospital, Healdsburg, CA, CCN 051321

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA58167CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Physician Assistant CurrentSince Apr 21, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 21, 2025 Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

5406 Sunrise Blvd
Ste 3
Citrus Heights, CA 95610
Phone (800) 972-5554

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

Interoperability endpoints

  • Direct secure messaging: mmendiola564192@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1619598489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 SUNRISE BLVD STE 3",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107854",
            "telephone_number": "800-972-5547",
            "fax_number": "916-887-7963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7412 N 19th St",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785045608",
            "country_code": "US",
            "telephone_number": "956-207-1127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "MONICA",
        "middle_name": "AISHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.