Jenna Yvonne Mendoza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1771 3Rd St Ste 101
Norco, CA 92860-2670

Phone

(951) 686-2020

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1992371546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST UNIT 321",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783429",
            "telephone_number": "909-205-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 3RD ST STE 101",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602670",
            "telephone_number": "951-686-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JENNA",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kayla Medina
• Brbarh A Mekhil
• Deanna Mendez
• Maia Estella Mendez
• Alayna Mendoza, APCC
• Alyssa Mercado
• Mercy Seat Mental Health Treatment Center LLC
• Joanna Meshreky, DO
• MHM Group, LLC
• Michael C. Wang Chiropractic and Acupuncture Inc.

• Behavior Technician in Norco, CA
• Providers in Norco, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.