Rene Mendieta

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2677 Zoe Ave
303
Huntington Park, CA 90255-4195

Phone

(323) 312-0640

NPI assigned

Jan 11, 2010

Last updated

Jan 11, 2010By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1902136112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 AVALON BLVD",
            "address_2": "12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033575",
            "telephone_number": "323-704-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 ZOE AVE",
            "address_2": "303",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554195",
            "telephone_number": "323-312-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIETA",
        "first_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Ruzbeh Mehta, M.D.
• Duvan Mejia, MD
• Enrique S Melgoza, D.D.S.
• Mayra Mendez Ordaz
• Alba Christina Mendez
• Francisca Mendoza, M.S. PPS
• Ofelia Mendoza
• Yohannes Menelik, RPH
• Elvia Mexicano, FNP
• Celeste C Meza

• Student in an Organized Health Care Education/Training Program in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.