Active NPI
Richard Noel Mendoza, MD
- Ophthalmology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G45563
- Practice address
- 1360 E Herndon Avenue
Suite 301
Fresno, CA 93720-3326 - Phone
- (559) 486-5000
- Fax
- (559) 439-7854
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G45563 | CA | Primary |
Addresses
Primary practice location
1360 E Herndon Avenue
Suite 301
Fresno, CA 93720-3326
Mailing address
1360 E Herndon Avenue
Suite 301
Fresno, CA 93720-3326
Phone (559) 486-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G455630 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Un of California, Irvine, College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1122 S St
Suite 101
Fresno, CA 93721-1430
Phone 55948650002822
1360 E Herndon Ave
Suite 301
Fresno, CA 93720-3326
Phone 55948650002822
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 358 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G45563 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Surgery Center LP | Past | Accepting new patients | |
| Saint Agnes Medical Center | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients |
Interoperability endpoints
- richard.mendoza.1@17661.direct.athenahealth.com
- richard.mendoza.p1@direct.californiaeye.nextgenshare.com
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1659388700
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205834694
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205834694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992724991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E HERNDON AVENUE",
"address_2": "SUITE 301",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203326",
"telephone_number": "559-486-5000",
"fax_number": "559-439-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 E HERNDON AVENUE",
"address_2": "SUITE 301",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203326",
"telephone_number": "559-486-5000",
"fax_number": "559-439-7854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "RICHARD",
"middle_name": "NOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G45563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G455630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.