Individual provider Active NPI

Skyla Haily Mendoza, MSN, FNP-BC

  • Family Nurse Practitioner
  • Sunnyvale, CA
National Provider Identifier
1992494017
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025051 Issued in CA
Practice address
717 E El Camino Real Ste 5
Sunnyvale, CA 94087-2963
Phone
(408) 228-3700
NPI assigned
May 4, 2023
Reactivated
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95025051 CA Primary

Addresses

Primary practice location

717 E El Camino Real Ste 5
Sunnyvale, CA 94087-2963

Mailing address

717 E El Camino Real Ste 5
Sunnyvale, CA 94087-2963
Phone (408) 228-3700

Other names 1

  • Skyla Haily Neuharth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025051CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of California Inc CurrentSince Jul 9, 2023 Accepting new patients

Locations

66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114

717 E El Camino Real
Ste 5
Sunnyvale, CA 94087
Phone (408) 228-3700

214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1992494017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E EL CAMINO REAL STE 5",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872963",
            "telephone_number": "408-228-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E EL CAMINO REAL STE 5",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872963",
            "telephone_number": "408-228-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SKYLA",
        "middle_name": "HAILY",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "deactivation_date": "2023-07-17",
        "reactivation_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKYLA",
            "last_name": "NEUHARTH",
            "middle_name": "HAILY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.