Kristina Marie Mendoza, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU1439 Issued in CA

Practice address

17768 Wika Rd Ste 200
Apple Valley, CA 92307-1200

Phone

(760) 503-1700

Fax

(760) 503-1728

NPI assigned

Feb 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Audiology and Integrated Professional Services, Inc

  • Audiologist
  • Apple Valley, CA
  • NPI 1184235459
  Medicare reassignment NPD Authorized official
• South Coast Allergy & Asthma Medical Corporation.

  • Allergy & Immunology Physician
  • Victorville, CA
  • NPI 1932256211
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1861670614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17768 WIKA RD STE 200",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071200",
            "telephone_number": "760-503-1700",
            "fax_number": "760-503-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17768 WIKA RD STE 200",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071200",
            "telephone_number": "760-503-1700",
            "fax_number": "760-503-1728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 W Noble Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932778353",
            "country_code": "US",
            "telephone_number": "760-503-1700",
            "fax_number": "760-503-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 Wright Ave Ste C8",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917505815",
            "country_code": "US",
            "telephone_number": "760-503-1700",
            "fax_number": "760-503-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1439",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.optimumaudiology.com",
            "affiliation": "Y",
            "affiliationName": "John D Amar MD Inc",
            "address_1": "15247 11th St Ste 200",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923953727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.counselear.com",
            "affiliation": "N",
            "endpointDescription": "EHR Audiology",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17768 Wika Rd Ste 200",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923071200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melinda D. Labuguen, MD Inc.
• Bilal Razaque Memon, MD
• Richard Mena Jr.
• Jordan Vega Mendez
• Inez Marie Mendoza
• Patricia Mendoza
• Marianne Meneses, OTR/L
• Radha Menon, M.D.
• Oscar Mercado
• Meridian Urgent Care & Occupational Health Center a Professional Corp

• Audiologist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.

Verify at the official NPI Registry.