Active NPI
Joycelyn A Mendoza, RD, IBCLC
- Registered Dietitian
- Soledad, CA
National Provider Identifier
1932630720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 581347
- Practice address
- 355 Gabilan St.
Soledad, CA 93960 - Phone
- (831) 678-2216
- Fax
- (831) 678-1373
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 581347 | CA | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | 10521958 | CA |
Addresses
Primary practice location
355 Gabilan St.
Soledad, CA 93960
Mailing address
632 E Alisal St
Salinas, CA 93905-2602
Phone (831) 678-2216
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 581347 | CA | MD | Registered Dietitian |
| 10521958 | CA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1932630720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 E ALISAL ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939052602",
"telephone_number": "831-678-2216",
"fax_number": "831-678-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GABILAN ST.",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "93960",
"telephone_number": "831-678-2216",
"fax_number": "831-678-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JOYCELYN",
"middle_name": "A",
"credential": "RD, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "581347",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "10521958",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.