Mayra E Mendoza, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

126746 Issued in CA

Practice address

402 W Broadway Ste 400
San Diego, CA 92101-3554

Phone

(866) 478-3978

NPI assigned

Dec 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Kern

  dba Kern BHRS Westchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
  • NPI 1568658821
  Medicare reassignment NPD
• Cyti Health PC

  dba Cyti Psychological

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1679172290
  Medicare reassignment NPD
• County of Kern

  dba Kern BHRS Stockdale

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1023210796
  NPD
• County of Kern

  dba Kern BHRS Green Gardens

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1467653253

  Social Worker

  NPD
• Inner Beacon Therapy a Licensed Professional Clinical Counselor Co

  dba Inner Beacon Therapy

  • Mental Health Counselor
  • Bakersfield, CA
  • NPI 1407596240
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1750094413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22192",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902192",
            "telephone_number": "831-710-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013554",
            "telephone_number": "866-478-3978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Stockdale Hwy Unit 11032",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933897098",
            "country_code": "US",
            "telephone_number": "661-412-4291",
            "fax_number": "855-794-0970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MAYRA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "126746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariel Gutierrez Mendoza
• Mariela Mendoza
• Marilou-Amor Misal Mendoza
• Marinella Mendoza
• Marylen Mendoza
• Melanie A Mendoza, BCBA
• Melissa Mendoza
• Mercedes Acosta Mendoza
• Michael V Mendoza
• Natalie Mendoza

• Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.