Active NPI
Francisco Guadalupe Mendivil Moreno, DPM
- Foot & Ankle Surgery Podiatrist
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5452
- Practice address
- 728 N Euclid Ave
Ontario, CA 91762-2712 - Phone
- (909) 984-5614
- NPI assigned
- Apr 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | E5452 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5452 | CA | Primary |
Addresses
Primary practice location
728 N Euclid Ave
Ontario, CA 91762-2712
Mailing address
1226 W Taylor St
Chicago, IL 60607-4709
Phone (909) 499-2625
Other practice location 1
16465 Sierra Lakes Pwky #240
Fontana, CA 92336
Phone (909) 427-9522
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
728 N Euclid Ave
Ontario, CA 91762-2712
Phone (909) 984-5614
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 47 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 452 |
| Removal or shaving of skin growth | 99 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5452 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burbank Podiatry Asscociates Group a Professional Corporation | Foot & Ankle Surgery | Current | Accepting new patients |
| Family Foot Center Podiatry Group Inc. | Current | Accepting new patients | |
| Upperline Healthcare California PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare California, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| Primecare Medical Group | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients |
Locations
15315 Fairfield Ranch Rd
Ste 220
Chino Hills, CA 91709
Phone (909) 789-1130
308 W 6th St
Ste 205
Corona, CA 92882
Phone (951) 417-4556
16465 Sierra Lakes Pkwy
Ste 240
Fontana, CA 92336
Phone (909) 355-3100
728 N Euclid Ave
Ontario, CA 91762
Phone (909) 984-4759
3600 Central Ave
Ste 4
Riverside, CA 92506
Phone (951) 355-2956
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- francisco.mendivil.moreno.1@4399.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
- NPI 1659470367
-
- Podiatric Clinic/Center
- Orange, CA
- NPI 1225663826
Foot & Ankle Surgery
-
- Podiatrist
- Ontario, CA
- NPI 1235332396
-
- Foot & Ankle Surgery Podiatrist
- La Mesa, CA
- NPI 1093399412
Orthopaedic Surgery
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1093720427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1871989475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074709",
"telephone_number": "909-499-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 N EUCLID AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917622712",
"telephone_number": "909-984-5614"
}
],
"practiceLocations": [
{
"address_1": "16465 Sierra Lakes Pwky #240",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "92336",
"country_code": "US",
"telephone_number": "909-427-9522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDIVIL MORENO",
"first_name": "FRANCISCO",
"middle_name": "GUADALUPE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-09",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "E5452",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.