Active NPI
Yalda Rocio Mendoza, PT, DPT
- Physical Therapist
- Fresno, CA
National Provider Identifier
1790491942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295281
- Practice address
- 7300 N Fresno St
Fresno, CA 93720-2942 - Phone
- (559) 448-4500
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA | ||
| Physical Therapist | 225100000X | 295281 | CA | Primary |
Addresses
Primary practice location
7300 N Fresno St
Fresno, CA 93720-2942
Mailing address
4798 E Richert Ave
Fresno, CA 93726-2922
Other practice location 1
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295281 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1790491942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4798 E RICHERT AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937262922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202942",
"telephone_number": "559-448-4500"
}
],
"practiceLocations": [
{
"address_1": "65 E Wadsworth Park Dr Ste 230",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840208096",
"country_code": "US",
"telephone_number": "385-308-8034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "YALDA",
"middle_name": "ROCIO",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.