Individual provider Active NPI

Rosalia Allan Mendoza, MD

  • Family Medicine Physician
  • Lafayette, CA
National Provider Identifier
1710904214
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87521 Issued in CA
Practice address
3687 Mt Diablo Blvd Ste 200
Lafayette, CA 94549-3746
Phone
(925) 756-3499
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A87521 CA
Family Medicine Physician 207Q00000X A87521 CA Primary

Addresses

Primary practice location

3687 Mt Diablo Blvd Ste 200
Lafayette, CA 94549-3746

Mailing address

5140 Diamond Heights Blvd Apt 305a
San Francisco, CA 94131-1766
Phone (415) 401-0109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000825 CA Practitioner - Emergency MedicinePractitioner - Family Practice 9739197666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 696-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Nov 26, 2012 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Nov 26, 2012 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

4053 Lone Tree Way
Ste 101
Antioch, CA 94531
Phone (925) 756-3400

2500 Milvia St
Berkeley, CA 94704
Phone (510) 204-5514

20101 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 247-6300

20101 Lake Chabot Rd
#1
Castro Valley, CA 94546
Phone (510) 886-3400

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: rmendoza139944@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1710904214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 DIAMOND HEIGHTS BLVD APT 305A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941311766",
            "telephone_number": "415-401-0109",
            "fax_number": "415-282-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 MT DIABLO BLVD STE 200",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493746",
            "telephone_number": "925-756-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ROSALIA",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A87521",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.