Active NPI
Samantha Mendoza, RD
- Registered Dietitian
- Loma Linda, CA
National Provider Identifier
1982320305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86088543
- Practice address
- 10964 Rincon St
Loma Linda, CA 92354-5213 - Phone
- (951) 440-1210
- NPI assigned
- Oct 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86088543 | CA | Primary |
Addresses
Primary practice location
10964 Rincon St
Loma Linda, CA 92354-5213
Mailing address
10964 Rincon St
Loma Linda, CA 92354-5213
Phone (951) 440-1210
Other names 1
- Samantha Santy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | dietitianwithat | Direct |
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 |
|---|---|---|---|
| 86088543 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1982320305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10964 RINCON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923545213",
"telephone_number": "951-440-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10964 RINCON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923545213",
"telephone_number": "951-440-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "SAMANTHA",
"name_prefix": "Miss",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86088543",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "dietitianwithat",
"affiliation": "N",
"endpointDescription": "how to spell dietitian",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10964 Rincon St",
"city": "Loma Linda",
"state": "CA",
"country_code": "US",
"postal_code": "923545213",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "SANTY",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.