Charming Sana Mendoza, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95023036 Issued in CA

Practice address

12370 Hesperia Rd Ste 17
Victorville, CA 92395-5808

Phone

(760) 388-0071

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charming.mendoza@theoncologyinstitute.ikm.direct-ci.com

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.

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• Wound Rescue Specialist

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• Makini Clinic PLLC

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  • Phoenix, AZ
  • NPI 1386423176

  CA, Multi-Specialty

  Medicare reassignment NPD
• Always Better Care Home Health Services LLC

  • Home Health Agency
  • Bellflower, CA
  • NPI 1295315844
  NPD
• Jem Hospice Corporation

  • Community Based Hospice Care Agency
  • San Bernardino, CA
  • NPI 1548855372
  NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1891411997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD STE 17",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955808",
            "telephone_number": "760-388-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD STE 17",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955808",
            "telephone_number": "760-388-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CHARMING",
        "middle_name": "SANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95023036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gennesi Mendez
• Jose Clyde Mendez, RADT
• Williane Mendiola, FNP-BC
• Alejandro Mendoza Sandoval, RADT
• Aleena Mendoza
• Jazmin Mendoza
• Jessica Minerva Mendoza
• Josefina Mendoza
• Sandy Grisel Mendoza
• Skye Mendoza

• Adult Health Nurse Practitioner in Victorville, CA
• Providers in Victorville, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.