Individual provider Active NPI

Richard Noel Mendoza, MD

  • Ophthalmology Physician
  • Fresno, CA
National Provider Identifier
1992724991
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G45563 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G455630MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000865 CA Practitioner - Ophthalmology 5193721439 Reassigns benefits to 1 organization

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
Eye Medical Clinic of Fresno IncGroup PAC ID 1355381740, 15 clinicians

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

ProcedureNumber of procedures
Cataract surgery358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45563CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: richard.mendoza.1@17661.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.