Iris Jolly Joanna Castillo Mencias, M.D.

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

A113545 Issued in CA

Practice address

21231 Hawthorne Blvd
Torrance, CA 90503-5501

Phone

(310) 540-1711

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Iris Jolly Joanna Mencias Richard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1811284219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21231 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035501",
            "telephone_number": "310-540-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21231 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035501",
            "telephone_number": "310-540-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCIAS",
        "first_name": "IRIS JOLLY JOANNA",
        "middle_name": "CASTILLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "A113545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS JOLLY JOANNA",
            "last_name": "RICHARD",
            "middle_name": "MENCIAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abigail Melton, MD
• Mayra Membreno
• Abigail Mena
• Nathan Russell Menard, MD
• Margarita Menchaca
• Donna Jean Mendelson-Gutierrez, MD
• Ariel B Mendelson, LPCC
• Sherry Mendelson, M.D.
• Daniel Mendez Barragan
• Ethan Michael Mendez-Gomez

• Clinical Genetics (M.D.) Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Genetics (M.D.) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.