Active NPI
Hans Christiaan Mendez, DPT
- Physical Therapist
- Lake Elsinore, CA
National Provider Identifier
1982948097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 39681
- Practice address
- 31764 Casino Dr
Ste. 106
Lake Elsinore, CA 92530-4571 - Phone
- (951) 471-3300
- Fax
- (951) 471-3301
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 39681 | CA | Primary |
Addresses
Primary practice location
31764 Casino Dr
Ste. 106
Lake Elsinore, CA 92530-4571
Mailing address
24630 Washington Ave
Ste. 200
Murrieta, CA 92562-6131
Phone (951) 696-9353
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 39681 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1982948097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"address_2": "STE. 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626131",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31764 CASINO DR",
"address_2": "STE. 106",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304571",
"telephone_number": "951-471-3300",
"fax_number": "951-471-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "HANS",
"middle_name": "CHRISTIAAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 39681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.