Individual provider Active NPI

Cindy Mendoza-Lopez, ASW, PPSC

  • Clinical Social Worker
  • Santa Cruz, CA
National Provider Identifier
1720337363
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91284 Issued in CA
Practice address
125 Water St Ste B
Santa Cruz, CA 95060-2792
Phone
(831) 427-3500
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 91284 CA Primary

Addresses

Primary practice location

125 Water St Ste B
Santa Cruz, CA 95060-2792

Mailing address

125 Water St Ste B
Santa Cruz, CA 95060-2792
Phone (831) 427-3500

Other practice location 1

241 E Lake Ave
Watsonville, CA 95076-4717
Phone (831) 688-8856 ext. 102

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ91892ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216004834 CA Practitioner - Clinical Social Worker 5193210235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 National Dr
Suite 135
Sacramento, CA 95834-1947

PO Box
Suite 542
Santa Cruz, CA 95061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91284CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Community Health Centers CurrentSince Dec 4, 2025 Accepting new patients
Santa Cruz Community Health Centers CurrentSince Dec 4, 2025 Accepting new patients
Santa Cruz Community Health Centers Mental Health PastSince Jan 10, 2021 Accepting new patients

Locations

231 Main St
#A
Ben Lomond, CA 95005
Phone (831) 336-1300

250 Locust St
Santa Cruz, CA 95060
Phone (831) 427-3582

Organizations & group practices 3

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1720337363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WATER ST STE B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602792",
            "telephone_number": "831-427-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WATER ST STE B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602792",
            "telephone_number": "831-427-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 E Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950764717",
            "country_code": "US",
            "telephone_number": "831-688-8856 x102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA-LOPEZ",
        "first_name": "CINDY",
        "credential": "ASW, PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
            "identifier": "ZZZ91892Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.