Individual provider Active NPI

Ariana Mendoza

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1811887474
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95035929 Issued in CA
Practice address
1111 E Herndon Ave Ste 202
Fresno, CA 93720-3100
Phone
(559) 319-6150
NPI assigned
Jul 7, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95035929 CA Primary

Addresses

Primary practice location

1111 E Herndon Ave Ste 202
Fresno, CA 93720-3100

Mailing address

1111 E Herndon Ave Ste 202
Fresno, CA 93720-3100
Phone (559) 647-9231

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002076 CA Order and Referring Only - Nurse Practitioner 1254823446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95035929CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1811887474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E HERNDON AVE STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203100",
            "telephone_number": "559-647-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E HERNDON AVE STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203100",
            "telephone_number": "559-319-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ARIANA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95035929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.