Active NPI
Julita Mendoza Lucio, DDS
- Dentist
- Van Nuys, CA
National Provider Identifier
1902967904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47938
- Practice address
- 14550 Haynes St
Van Nuys, CA 91411-1613 - Phone
- (818) 650-6700
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47938 | CA | Primary |
Addresses
Primary practice location
14550 Haynes St
Van Nuys, CA 91411-1613
Mailing address
14550 Haynes St
Van Nuys, CA 91411-1613
Phone (818) 650-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4793801 | Other | CA | MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Family Health | Past | Accepting new patients | |
| Omni Family Health | Past | Accepting new patients |
Interoperability endpoints
- julita.mendozalucio.p1@direct.altura.nextgenshare.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1033426002
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1417962457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1902967904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14550 HAYNES ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111613",
"telephone_number": "818-650-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14550 HAYNES ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111613",
"telephone_number": "818-650-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIO",
"first_name": "JULITA",
"middle_name": "MENDOZA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "B4793801",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.