Individual provider Active NPI

Jorge Alberto Mendoza Jr., MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1811152341
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A121774 Issued in CA
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

Updated by the provider on Aug 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000331 CA Practitioner - Diagnostic Radiology 6406004803 Reassigns benefits to 4 organizations

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
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
A121774CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Jul 1, 2017 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. PastSince Jun 1, 2010 Accepting new patients
St Clair Pulmonary & Critical Care P C PastSince Mar 14, 2015 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.