MICHAEL ANTHONY MENDEZ (NPI# 1013394303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013394303 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY MENDEZ |
| Practice Address |
420 W 19th St Costa Mesa CA 92627-2026 |
| Practice Telephone | 9496469226 |
| Mailing Telephone | 9496469226 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MENTAL HEALTH ASSOCIATION | A9107687 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357327 | Michael Mendez | Acupuncturist | 1401 La Chica Dr, Chula Vista, CA 91911-6951 | 2020-02-05 |
| 1861983447 | Michael Anthony Mendez | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2018-05-19 |
| 1205242203 | Michael Mendez | Rehabilitation Practitioner | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2014-07-10 |
| 1407278195 | Michael Mendez | Community Health Worker | 1050 E Flamingo Rd, Ste S-107, Las Vegas, NV 89119-7427 | 2014-01-14 |
| 1952647422 | Michael C Mendez | Physician Assistant | 1401 W Jefferson Blvd, Dallas, TX 75208-5326 | 2013-01-02 |
| 1649433863 | Michael Perez Mendez | Family Medicine | 7008 Indiana Ave, Ste. A, Lubbock, TX 79413-6114 | 2008-07-08 |
| 1093897514 | Michael Peter Mendez | Internal Medicine | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5256 | 2006-10-20 |
| Street Address |
420 W 19TH ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932392917 | Arleen Denise Torres | Counselor | 420 W 19th St, Suite B, Costa Mesa, CA 92627-2026 | 2007-08-22 |
| 1184984866 | Katherine Lynn Fosdahl | Counselor | 420 W 19th St, Costa Mesa, CA 92627-2026 | 2012-05-29 |
| 1114222346 | Kelly Rebecca Dobyns | Counselor | 420 W 19th St, Costa Mesa, CA 92627-2026 | 2011-01-19 |
| 1952616575 | Brian Edward Croner | Counselor | 420 W 19th St, Costa Mesa, CA 92627-2026 | 2010-08-09 |
| 1356660880 | Michelle Walker | Counselor | 420 W 19th St, Costa Mesa, CA 92627-2026 | 2010-05-24 |
| 1073846978 | Sandy Diana Mckenna | Counselor | 420 W 19th St, Suite B, Costa Mesa, CA 92627-2026 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.