Active NPI
Mari Faith Fernan Mendoza
- Pharmacist
- Pittsburg, CA
National Provider Identifier
1790936565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56688
- Practice address
- 2901 Railroad Ave
Pittsburg, CA 94565-5224 - Phone
- (925) 439-8575
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- 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 | 56688 | CA | Primary |
Addresses
Primary practice location
2901 Railroad Ave
Pittsburg, CA 94565-5224
Mailing address
2046 Tomales Bay Dr
Bay Point, CA 94565-7933
Phone (530) 838-8803
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1790936565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 TOMALES BAY DR",
"city": "BAY POINT",
"state": "CA",
"postal_code": "945657933",
"telephone_number": "530-838-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 RAILROAD AVE",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655224",
"telephone_number": "925-439-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MARI FAITH",
"middle_name": "FERNAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.