Active NPI
Michael A. Mendoza, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1861435729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24504
- Practice address
- 1114 Colorado Blvd
Los Angeles, CA 90041-2504 - Phone
- (323) 254-2881
- Fax
- (323) 254-0119
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24504 | CA | Primary |
Addresses
Primary practice location
1114 Colorado Blvd
Los Angeles, CA 90041-2504
Mailing address
1114 Colorado Blvd
Los Angeles, CA 90041-2504
Phone (323) 254-2881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060707000347 | CA | Practitioner - Chiropractic | 0446262620 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1114 Colorado Blvd
Los Angeles, CA 90041-2504
Phone (323) 254-2881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC24504 | CA | MD | Chiropractor |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861435729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 COLORADO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900412504",
"telephone_number": "323-254-2881",
"fax_number": "323-254-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 COLORADO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900412504",
"telephone_number": "323-254-2881",
"fax_number": "323-254-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MICHAEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.