Robin Lynn Mendez

Key facts

NPI

1720644362

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Vocational Nurse 164X00000X

License

266649 (CA)

Practice address

5404 Kiernan Ave
Salida, CA 95368-9130

Phone

(408) 466-5033

NPI assigned

May 17, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 17, 2019.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1720644362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 PLANTATION CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558717",
            "telephone_number": "408-466-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 KIERNAN AVE",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689130",
            "telephone_number": "408-466-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "266649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmendez@alendinghandseniorliving.com",
            "affiliation": "N",
            "address_1": "5404 Kiernan Ave",
            "city": "Salida",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953689130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Salida, CA · Licensed Vocational Nurse in California