Active NPI
Marissa Keren Mendoza, OTD, OTR/L
- Occupational Therapist
- La Mesa, CA
National Provider Identifier
1700735669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 28675
- Practice address
- 7862 El Cajon Blvd Ste 200
La Mesa, CA 91942-6712 - Phone
- (619) 647-6157
- Fax
- (858) 997-2088
- NPI assigned
- Jan 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 28675 | CA | Primary |
Addresses
Primary practice location
7862 El Cajon Blvd Ste 200
La Mesa, CA 91942-6712
Mailing address
1575 Tanglewood LN Apt N254
Escondido, CA 92029-3225
Phone (505) 819-8680
Other practice location 1
6264 Ferris Sq
San Diego, CA 92121-3204
Phone (619) 940-4128
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1700735669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 TANGLEWOOD LN APT N254",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920293225",
"telephone_number": "505-819-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7862 EL CAJON BLVD STE 200",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426712",
"telephone_number": "619-647-6157",
"fax_number": "858-997-2088"
}
],
"practiceLocations": [
{
"address_1": "6264 Ferris Sq",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921213204",
"country_code": "US",
"telephone_number": "619-940-4128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "MARISSA",
"middle_name": "KEREN",
"name_prefix": "Ms.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-24",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "28675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.