Nicole Mendoza-Martens

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95002941 Issued in CA

Practice address

260 Betty LN
Pleasant Hill, CA 94523-2807

Phone

(925) 890-9397

NPI assigned

Oct 3, 2015

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Swope Medical Group Inc

  • Emergency Medicine Physician
  • Grass Valley, CA
  • NPI 1972500593
  NPD

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1962872929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BETTY LN",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BETTY LN",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232807",
            "telephone_number": "925-890-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-MARTENS",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95002941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Meinbress
• Heidi Marie Mejias, LMFT
• Lucia Melano, DOCTOR OF PSYCHOLOGY
• Tivoli Melnick
• Michael Mendaros
• Angela Lauren Mendoza, OTR
• Gabriela Mendoza
• Rowena Torres Mengotto
• Menm, LLC
• Bryanna Lucita Menor

• Acute Care Nurse Practitioner in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.