Individual provider Active NPI

Arjay Edlex Mendoza, PHARMD, BCPS

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1659011039
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
89128 Issued in CA
Practice address
3350 La Jolla Village Dr
San Diego, CA 92161-1514
Phone
(858) 552-8585
NPI assigned
Mar 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23946 CO
Pharmacist 183500000X 89128 CA Primary

Addresses

Primary practice location

3350 La Jolla Village Dr
San Diego, CA 92161-1514

Mailing address

3379 Mission Blvd
San Diego, CA 92109-7637
Phone (760) 590-1445

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address arjay.mendoza@cuanschutz.edu The Regents of the University of Colorado
Direct Messaging Address arm014@health.ucsd.edu UCSD Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
89128CAMDPharmacist
23946COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1659011039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 MISSION BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921097637",
            "telephone_number": "760-590-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921611514",
            "telephone_number": "858-552-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "858-657-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ARJAY",
        "middle_name": "EDLEX",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "23946",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arjay.mendoza@cuanschutz.edu",
            "affiliation": "Y",
            "affiliationName": "The Regents of the University of Colorado",
            "address_1": "1635 Aurora Ct",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800452541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arm014@health.ucsd.edu",
            "affiliation": "Y",
            "affiliationName": "UCSD Medical Center",
            "address_1": "200 W Arbor Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921039000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.