Ecstassy N Mendoza

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Phone

(951) 360-4175

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Jurupa Unified School District

  • Local Education Agency (LEA)
  • Jurupa Valley, CA
  • NPI 1861037954
  NPD
• Telecare Corporation

  • Psychiatric Residential Treatment Facility
  • Riverside, CA
  • NPI 1922531839
  NPD

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1619744935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 COUNTY FARM RD # R",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033678",
            "telephone_number": "951-509-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 RIVERVIEW DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096611",
            "telephone_number": "951-360-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9890 County Farm Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033678",
            "country_code": "US",
            "telephone_number": "951-509-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ECSTASSY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah McKinnon, PT
• Cleysa Jael Medina Lopez
• Ariana A Medina
• Daylene Alexus Medina, MSW, ACSW
• Cecilia Mendez
• Christopher Mercado
• Valerie Angelina Meza
• Daniel Miller, FULL SPECTRUM DOULA
• Jessica Miller, FULL SPECTRUM DOULA
• Harper Reese Milstead

• Student in an Organized Health Care Education/Training Program in Jurupa Valley, CA
• Providers in Jurupa Valley, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.