Carlos A Mendoza, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

26154 Issued in CO

Practice address

9141 Grant St
Suite 200
Thornton, CO 80229-4374

Phone

(303) 427-1503

Fax

(303) 412-1745

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1619965894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8859 FOX DR",
            "address_2": "SUITE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802606899",
            "telephone_number": "303-867-2460",
            "fax_number": "303-867-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 GRANT ST",
            "address_2": "SUITE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294374",
            "telephone_number": "303-427-1503",
            "fax_number": "303-412-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "26154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01261544",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN VIEW INTERPRETATION",
            "identifier": "841198813",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lauren Mellem, LSW
• Amanuel Melles
• Sam Anthony Melton, PMHNP
• Adaliz Yvonne Mendez, MSW
• Ana Maria Mendoza, RDH
• Wendy Menkel, RDH
• Mental Health Treatment Specialists LLC
• Basak Didem Meral, MA, LPC
• Audrey Mercer, BS
• Meaghan M. Mercer

• Cardiovascular Disease Physician in Thornton, CO
• Providers in Thornton, CO by specialty
• Cardiovascular Disease Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.