Clarissa M Mendoza, RN/PHN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

416841 Issued in CA

Practice address

3400 Aero Jet Ave
3Rd Floor
El Monte, CA 91731-2803

Phone

(626) 569-6151

Fax

(626) 569-1905

NPI assigned

Feb 5, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1922286509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 AERO JET AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312803",
            "telephone_number": "626-569-6151",
            "fax_number": "626-569-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 AERO JET AVE",
            "address_2": "3RD FLOOR",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312803",
            "telephone_number": "626-569-6151",
            "fax_number": "626-569-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CLARISSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN/PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "416841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Scarlet Melgar
• Joseph Melillo, O.D.
• Stephen R Melli, M.D.
• Denis Melliz
• Jose Luis Mendez Sr.
• Mark Mendoza
• Angel Mercado, RPH
• Ngozi Andrade Messam, RN
• Michelle Anette Meyer, PPS
• Liliana Meza

• Case Management Registered Nurse in El Monte, CA
• Providers in El Monte, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.