DIANA MENDOZA (NPI# 1073153540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073153540 |
| Entity Type | Individual |
| Full Name | DIANA MENDOZA |
| Practice Address |
141 E Main St Waterbury CT 06702-2310 |
| Practice Telephone | 2035749000 |
| Practice Fax Number | 2035749006 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124385166 | Diana Elizabeth Mendoza | Speech-Language Pathologist | 6316 N 10th St. Ste 701g, Mcallen, TX 78504-3233 | 2012-04-16 |
| 1366084980 | Diana Karina Mendoza | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2019-10-15 |
| 1427616499 | Diana Mendoza | Counselor | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-06-04 |
| 1346713153 | Diana Mendoza | Behavior Technician | 1446 Ethan Way, Sacramento, CA 95825-2214 | 2019-01-03 |
| 1598279242 | Diana Tafoya Mendoza | Behavior Technician | 78900 Avenue 47 Ste 105, La Quinta, CA 92253-2070 | 2017-11-16 |
| 1104367036 | Diana Mendoza | Case Manager/Care Coordinator | 2525 N Chester Ave, Bakersfield, CA 93308-1770 | 2017-03-10 |
| 1538531249 | Diana Patricia Mendoza | Physician Assistant | 1601 Trinity St, Austin, TX 78712 | 2015-10-21 |
| 1750680070 | Diana Margarita Mendoza | Rehabilitation Practitioner | 160 E Holt Ave Ste B, Pomona, CA 91767-5407 | 2011-03-25 |
| 1891928891 | Diana Mendoza | Physician Assistant | 11661 Preston Rd, Suite 218, Dallas, TX 75230-2745 | 2009-08-25 |
| 1013114099 | Diana J Mendoza | Case Manager/Care Coordinator | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2007-07-02 |
| Street Address |
141 E MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476548 | Mara Silva | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-10-29 |
| 1861090979 | Kenndra Espinoza | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-10-12 |
| 1972118511 | Melissa Walder | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-10 |
| 1083228944 | Miranda Curnane | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-08 |
| 1154935005 | Victoria Lyons | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-08 |
| 1700490901 | Billie-jo Sauvron | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-04 |
| 1932713161 | Katherine Cichon | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-04 |
| 1497367544 | Mackenna Jacovich | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-20 |
| 1689285074 | Kimberly Porras | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-11 |
| 1013528405 | Elaine Mero | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748975 | Anxhela Kulla | Student in an Organized Health Care Education/Training Program | 93 Cedar Ave, Waterbury, CT 06705-2702 | 2020-04-03 |
| 1902433766 | Zuhal Gokturk | Student in an Organized Health Care Education/Training Program | 56 Franklin St Dept Of, Waterbury, CT 06706-1253 | 2020-03-23 |
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1699272625 | Behnoud Baradaran Noveiry | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2018-04-06 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1770938508 | Andrew Camacho | Student in an Organized Health Care Education/Training Program | 160 Robbins St., Chase Outpatient Center, Waterbury, CT 06708-2613 | 2016-04-29 |
| 1134591605 | Christine Oliver | Student in an Organized Health Care Education/Training Program | 54 South Main Street, Newtown Clinical Services, Waterbury, CT 06710-2169 | 2015-10-23 |
| 1861893026 | Gopi Durlabhji Ukani | Student in an Organized Health Care Education/Training Program | 59 Sharon Rd Apt 6, Waterbury, CT 06705-4032 | 2014-09-08 |
| 1073874202 | Dykea Torres | Student in an Organized Health Care Education/Training Program | 79 Beacon Street, Waterbury, CT 06704-1701 | 2012-06-05 |
| 1750570222 | Camera Aquila Quebec | Student in an Organized Health Care Education/Training Program | 182 Grand St Fl 4, Waterbury, CT 06702-1914 | 2007-10-19 |
| Find all providers in WATERBURY | ||||
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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.