Individual provider Active NPI

Nicholas B Mendoza, LCSW

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1831596063
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117724 Issued in CA
Practice address
845 W East Ave
Chico, CA 95926-2002
Phone
(530) 896-9400
NPI assigned
Dec 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117724 CA Primary

Addresses

Primary practice location

845 W East Ave
Chico, CA 95926-2002

Mailing address

1718 Magnolia Ave # a
Chico, CA 95926-3245
Phone (530) 828-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311002840 TX Practitioner - Clinical Social Worker 1254777485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Northern Valley Indian Health IncGroup PAC ID 1557493723, 35 clinicians

Practice addresses (Care Compare)

500 Cohasset Rd
Suite 15
Chico, CA 95926-2260
Phone (530) 433-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc Current Accepting new patients
Northern Valley Indian Health, Inc CurrentSince Jan 28, 2024 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Jan 28, 2024 Accepting new patients

Locations

845 W East Ave
Chico, CA 95926
Phone (530) 896-9400

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAEBD
  • Direct secure messaging: nicholas.mendoza@nvih.eclinicaldirectplus.com

Organizations & group practices 5

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": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1831596063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 MAGNOLIA AVE # A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263245",
            "telephone_number": "530-828-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262002",
            "telephone_number": "530-896-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "NICHOLAS",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-03",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.