Individual provider Active NPI

Julio Cesar Mendez Loreto, NP

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1972064871
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
95010141 Issued in CA
Practice address
500 N Central Ave Ste 800
Glendale, CA 91203-3345
Phone
(818) 242-4191
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95010141 CA
Cardiovascular Disease Physician 207RC0000X 95010141 CA Primary

Addresses

Primary practice location

500 N Central Ave Ste 800
Glendale, CA 91203-3345

Mailing address

215 W 6TH St Apt 418
Los Angeles, CA 90014-1918
Phone (626) 400-9483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226001234 CA Order and Referring Only - Nurse Practitioner 8022445303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010141CAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1972064871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 6TH ST APT 418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141918",
            "telephone_number": "626-400-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 800",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033345",
            "telephone_number": "818-242-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ LORETO",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95010141",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "95010141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.