Individual provider Active NPI

Kristina Mendez, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1891324679
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32985 Issued in CA
Practice address
3252 Holiday CT Ste 201
La Jolla, CA 92037-1808
Phone
(619) 354-7400
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32985 CA Primary

Addresses

Primary practice location

3252 Holiday CT Ste 201
La Jolla, CA 92037-1808

Mailing address

3252 Holiday CT Ste 201
La Jolla, CA 92037-1808
Phone (619) 354-7400

Other practice location 1

84 W Santa Clara St Ste 700
San Jose, CA 95113-1809
Phone (858) 208-0380

Other practice location 2

374 N Coast Highway 101
Encinitas, CA 92024-2542
Phone (858) 367-7274

Other practice location 3

1990 N California Blvd Ste 800
Walnut Creek, CA 94596-7261
Phone (858) 208-0380

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521001488 CA Practitioner - Clinical Psychologist 5294204079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2041 E St
Suite 1241
Concord, CA 94520-2126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32985CAMDClinical Psychologist

Organizations & group practices 1

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1891324679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 201",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "619-354-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 201",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "619-354-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 W Santa Clara St Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131809",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "fax_number": "833-643-0973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "374 N Coast Highway 101",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242542",
            "country_code": "US",
            "telephone_number": "858-367-7274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 N California Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945967261",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.