Maegan Mercy Mendoza, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AMD1179 Issued in HI

Practice address

1401 S Beretania St Ste 102
Honolulu, HI 96814-1871

Phone

(407) 985-0228

NPI assigned

Dec 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• All Access Ortho LLC

  • Urgent Care Clinic/Center
  • Honolulu, HI
  • NPI 1346682549
  Medicare reassignment
• Happy Happy Happy LLC

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1285038364
  Medicare reassignment
• Orthopedic Services Company, LLP

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1174734875
  NPD

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

{
    "created_epoch": "1640390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1649930181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141871",
            "telephone_number": "407-985-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141871",
            "telephone_number": "407-985-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MAEGAN",
        "middle_name": "MERCY",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-25",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD1179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mending Hearts Counseling LLC
• Angela Nalani Mendiola
• Bradley Mendoza, OD
• Jacqueline Mendoza
• Jaime Sanchez Mendoza, LCSW, DCSW, CSAC
• Maribel Acidera Mendoza
• Mark Mendoza
• Michael Vaughn Florentino Mendoza, MD
• Wendy Mendoza, RN
• Marie Bernadette Ramos Mendrun, APRN,FNP-C

• Physician Assistant in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.