Eddie A Mendoza, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

97767

Practice address

1900 E Tahquitz Canyon Way Ste A1
Palm Springs, CA 92262-7060

Phone

(760) 327-1509

Fax

(760) 327-1509

NPI assigned

Apr 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1841787447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E TAHQUITZ WAY STE A1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627060",
            "telephone_number": "760-327-1509",
            "fax_number": "760-327-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E TAHQUITZ CANYON WAY STE A1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627060",
            "telephone_number": "760-327-1509",
            "fax_number": "760-327-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "EDDIE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": "97767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharl Melek
• Efrain Melendrez
• Christalyn Amialianet Melville
• Daniel G Mendez, DO
• Raquel A Mendez
• Rosalia Mendoza, PPS
• Uzziel Meneses
• David Andrew Menges, DO
• Stuart Jay Menn, M.D.
• Rosalinda Maria Menoni, MD

• Surgical Technologist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Surgical Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.