Active NPI
Jorge Alberto Mendoza Jr., MD
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A121774
- Practice address
- 13280 Evening Creek Dr S Ste 110
San Diego, CA 92128-4109 - Phone
- (858) 546-3800
- NPI assigned
- Jul 24, 2008
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A121774 | CA | Primary |
Addresses
Primary practice location
13280 Evening Creek Dr S Ste 110
San Diego, CA 92128-4109
Mailing address
17371 Lido LN
Huntington Beach, CA 92647-6141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.38 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121774 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I V Radiology Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Focus Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Modesto Radiological Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| I V Radiology Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Truxtun Radiology Medical Group, L.P. | Past | Accepting new patients | |
| St Clair Pulmonary & Critical Care P C | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
2301 Bahamas Dr
Bakersfield, CA 93309
9920 Brimhall Rd
Bakersfield, CA 93312
4500 Morning Dr
Ste 202
Bakersfield, CA 93306
Phone (661) 326-6900
3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600
9900 Stockdale Hwy
Ste 109
Bakersfield, CA 93311
9900 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 616-6306
9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800
1818 16th St
Bakersfield, CA 93301
Phone (661) 616-1458
1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800
267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430
900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450
555 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 572-0912
9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755
13280 Evening Creek Dr S
Ste 110
San Diego, CA 92128
Phone (855) 835-3723
506 W Valley Blvd
San Gabriel, CA 91776
Phone (626) 308-3800
432 S Mill St
Tehachapi, CA 93561
Phone (661) 822-8223
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a2aabeb9-840e-4290-b28b-f0bb3ed955f9/
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1700821972
-
- Diagnostic Radiology Physician
- Monrovia, CA
- NPI 1528299989
-
- Diagnostic Radiology Physician
- Brawley, CA
- NPI 1235296880
-
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1992747547
-
- Diagnostic Radiology Physician
- Orange, CA
- NPI 1801325345
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1720023997
-
dba Bakersfield Memorial Hospital Pharmacy
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1700226933
-
- Radiology Clinic/Center
- Bakersfield, CA
- NPI 1548265036
-
- Pulmonary Disease Physician
- Port Huron, MI
- NPI 1710909478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1811152341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17371 LIDO LN",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926476141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13280 EVENING CREEK DR S STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284109",
"telephone_number": "858-546-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JORGE",
"middle_name": "ALBERTO",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A121774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.