Individual provider Active NPI

Marissa Keren Mendoza, OTD, OTR/L

  • Occupational Therapist
  • La Mesa, CA
National Provider Identifier
1700735669
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
28675 Issued in CA
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

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.