Active NPI
Julian Ryan Mendoza, PHARMD
- Pharmacist
- Fontana, CA
National Provider Identifier
1780305359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86603
- Practice address
- 7390 Cherry Ave
Fontana, CA 92336-4204 - Phone
- (909) 428-3933
- NPI assigned
- Sep 12, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86603 | CA | Primary |
Addresses
Primary practice location
7390 Cherry Ave
Fontana, CA 92336-4204
Mailing address
7390 Cherry Ave
Fontana, CA 92336-4204
Phone (909) 428-3933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86603 | CA | MD | Pharmacist |
Interoperability endpoints
- julian.mendoza.p1@direct.chsica.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1780305359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7390 CHERRY AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923364204",
"telephone_number": "909-428-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7390 CHERRY AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923364204",
"telephone_number": "909-428-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JULIAN",
"middle_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.