Vickie Sue Mendoza

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1170 W Olive Ave
Suite G
Merced, CA 95348-1959

Phone

(209) 725-2125

Fax

(209) 384-1495

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1649449463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 W OLIVE AVE",
            "address_2": "SUITE G",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481959",
            "telephone_number": "209-725-2125",
            "fax_number": "209-384-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 W OLIVE AVE",
            "address_2": "SUITE G",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481959",
            "telephone_number": "209-725-2125",
            "fax_number": "209-384-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "VICKIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Luis Mendoza
• Rodrigo Militon Mendoza
• Ruben Mendoza
• Valeria Cruz Mendoza
• Veronica Mendoza
• Yair Mendoza
• Yolanda Mendoza
• Yvanna Mendoza
• Fabian Meneses I
• Jaclyn Nicole Meneses

• Counselor in Merced, CA
• Providers in Merced, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.