Mario Mendoza

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

1441 Swan St
Livingston, CA 95334-1836

Phone

(209) 259-1160

NPI assigned

Jan 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1699239632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ENTERPRISE CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953019589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SWAN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341836",
            "telephone_number": "209-259-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DMV",
            "identifier": "A4343640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Maurice McGauley, FNP
• Melvin McKinney
• Rebeca Mendez, RDH
• Eduardo Mendoza
• Jena Mendoza, PT, DPT, OCS
• Merced County Department of Mental Health Livingston Alcohol and Drug
• Merced Faculty Associates Medical Group Incorporated
• Alesandra Gisele Mireles
• Sam Mirsaeidi-Farahani, DMD
• Shivam Mohan, PHARMD

• Non-emergency Medical Transport (VAN) in Livingston, CA
• Providers in Livingston, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.