Active NPI
Jesus Cruz Mendoza, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Pomona, CA
National Provider Identifier
1659381416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- A34629
- Practice address
- 801 Corporate Center Dr
Suite 130
Pomona, CA 91768-2628 - Phone
- (909) 623-1954
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | A34629 | CA | Primary |
Addresses
Primary practice location
801 Corporate Center Dr
Suite 130
Pomona, CA 91768-2628
Mailing address
16540 Murphy Rd
La Mirada, CA 90638-6218
Phone (562) 947-0944
Other names 1
- Dr. Jess Cruz Mendoza
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34629 | CA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659381416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16540 MURPHY RD",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906386218",
"telephone_number": "562-947-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CORPORATE CENTER DR",
"address_2": "SUITE 130",
"city": "POMONA",
"state": "CA",
"postal_code": "917682628",
"telephone_number": "909-623-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JESUS",
"middle_name": "CRUZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CA",
"license": "A34629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESS",
"last_name": "MENDOZA",
"middle_name": "CRUZ",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.