Regina Irma Mendoza

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

43021 Issued in CA

Practice address

541 S Ham LN Ste a&B
Lodi, CA 95242-3059

Phone

(209) 224-8940

NPI assigned

Oct 18, 2022

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

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.

• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Lodi, CA
  • NPI 1649669979
  NPD
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Banning, CA
  • NPI 1376293407
  NPD (past)

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1992421150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 S HAM LN STE A&B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423059",
            "telephone_number": "209-224-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 S HAM LN STE A&B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423059",
            "telephone_number": "209-224-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "REGINA",
        "middle_name": "IRMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "43021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Ramon Medina Garcia
• Mirella Medina
• Harry R Meeks Jr., AMFT
• Monica Mendiola
• Ana Beatriz Mendoza Bautista
• Mental Wellness Club LLC
• Victoria Sibayan Merck, M.F.T.
• Lauri K. Merrill, P.T.
• Todd M. Merrill, P.T.
• Ciera Noele Mertens, MS

• Licensed Psychiatric Technician in Lodi, CA
• Providers in Lodi, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.