JOHN RICHARD MENDIUS (NPI# 1295765881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295765881 |
| Entity Type | Individual |
| Full Name | JOHN RICHARD MENDIUS |
| Credential | M.D. |
| Practice Address |
3883 Airway Drive Suite 201 Santa Rosa CA 95403 |
| Mailing Address |
3883 Airway Drive Santa Rosa CA 95403 |
| Practice Telephone | 7075217788 |
| Practice Fax Number | 7075211309 |
| Mailing Telephone | 7075217788 |
| Mailing Fax Number | 7075217789 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G40321 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G403210 | 05 |
| Street Address |
3883 AIRWAY DRIVE SUITE 201 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215918784 | Elizabeth A Peralta | Surgery | 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403-1671 | 2005-11-10 |
| 1346575073 | Sutter West Bay Medical Foundation | Emergency Medicine | 3883 Airway Drive, Suite 120, Santa Rosa, CA 95403-1678 | 2009-10-14 |
| 1245565977 | Sutter West Bay Medical Foundation | Clinical Medical Laboratory | 3883 Airway Drive, Suite 202, Santa Rosa, CA 95403-1671 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588906663 | Stella Lai | Psychiatry & Neurology | 990 Sonoma Ave Ste 17, Santa Rosa, CA 95404 | 2013-03-26 |
| 1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
| 1588793962 | Sidney Joseph Kurn | Psychiatry & Neurology | 95 Montgomery Dr Ste 126, Santa Rosa, CA 95404-6617 | 2007-03-03 |
| 1699861344 | Paul E Nicholas | Psychiatry & Neurology | 405 W College Ave Ste F, Santa Rosa, CA 95401-6506 | 2006-10-04 |
| 1336161835 | Joel M Reiter | Psychiatry & Neurology | 1103 Sonoma Ave, Santa Rosa, CA 95405-4805 | 2006-07-24 |
| 1346202975 | Zachary R Lewton | Psychiatry & Neurology | 1194 Montgomery Dr, Santa Rosa, CA 95405-4802 | 2006-04-06 |
| 1649471202 | Sea Jin Kim | Psychiatry & Neurology | 401 Bicentennial Way, Suite 200, Santa Rosa, CA 95403-2149 | 2007-05-30 |
| 1992837496 | Jerome Hsi-cheng Chin | Psychiatry & Neurology | 95 Montgomery Dr, Suite 102, Santa Rosa, CA 95404-6630 | 2007-03-10 |
| 1114066974 | Max Barnett Duncan | Psychiatry & Neurology | 3883 Airway Dr, Suite 201, Santa Rosa, CA 95403-1670 | 2007-02-06 |
| 1194894394 | Jet King-shing Ho | Psychiatry & Neurology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-06 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on JOHN RICHARD MENDIUS.
| 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.