Active NPI
Simon Matt Mendez, CADC II
- Addiction (Substance Use Disorder) Counselor
- Long Beach, CA
National Provider Identifier
1750293775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535 - Phone
- (562) 471-7710
- NPI assigned
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535
Mailing address
15902 Sweet PL
Hacienda Heights, CA 91745-3528
Phone (626) 543-5713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1750293775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15902 SWEET PL",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917453528",
"telephone_number": "626-543-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 ATLANTIC AVE STE 102",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073535",
"telephone_number": "562-471-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "SIMON",
"middle_name": "MATT",
"name_prefix": "Mr.",
"credential": "CADC II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.