Individual provider Active NPI

Rhean-Heather M Mendoza

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1669138111
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34934 Issued in CA
Practice address
2005 De la Cruz Blvd Ste 235
Santa Clara, CA 95050-3026
Phone
(408) 905-3351
Fax
(408) 884-2314
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 34934 CA Primary

Addresses

Primary practice location

2005 De la Cruz Blvd Ste 235
Santa Clara, CA 95050-3026

Mailing address

1461 Leaftree Cir
San Jose, CA 95131-3055
Phone (408) 464-6936

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

State licenses

LicenseStateTypeSpecialty
34934CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mendoza Chiropractic Inc. Chiropractor CurrentSince Feb 2, 2025 Accepting new patients

Locations

2005 De la Cruz Blvd
Ste 235
Santa Clara, CA 95050
Phone (408) 905-3351

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1669138111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 LEAFTREE CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951313055",
            "telephone_number": "408-464-6936",
            "fax_number": "408-884-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 DE LA CRUZ BLVD STE 235",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503026",
            "telephone_number": "408-905-3351",
            "fax_number": "408-884-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "RHEAN-HEATHER",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

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