Active NPI
Michael Mendaros
- Home Health Aide
- Pleasant Hill, CA
National Provider Identifier
1700334885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1630 Contra Costa Blvd
Suite 215
Pleasant Hill, CA 94523-3085 - Phone
- (925) 429-8320
- Fax
- (925) 421-0625
- NPI assigned
- Sep 16, 2016
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1630 Contra Costa Blvd
Suite 215
Pleasant Hill, CA 94523-3085
Mailing address
1630 Contra Costa Blvd
Suite 215
Pleasant Hill, CA 94523-3085
Phone (925) 429-8320
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MGM Home Healthcare LLC | Past | Accepting new patients |
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.
-
- In Home Supportive Care Agency
- Pleasant Hill, CA
- NPI 1912347584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1700334885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 CONTRA COSTA BLVD",
"address_2": "SUITE 215",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945233085",
"telephone_number": "925-429-8320",
"fax_number": "925-421-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 CONTRA COSTA BLVD",
"address_2": "SUITE 215",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945233085",
"telephone_number": "925-429-8320",
"fax_number": "925-421-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDAROS",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-16",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.