OLGA L. MENDOZA (NPI# 1306912878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306912878 |
| Entity Type | Individual |
| Full Name | OLGA L. MENDOZA |
| Credential | MD |
| Practice Address |
5580 19th Count Sw Unit 2 Naples FL 34116 |
| Practice Telephone | 7874602753 |
| Practice Fax Number | 7877482212 |
| Mailing Telephone | 7874602753 |
| Mailing Fax Number | 7877482212 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN1116 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 14862 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MMM | 500454E | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205391653 | Olga Mendoza | Chore Provider | 2001 S Jones Blvd Ste H, Las Vegas, NV 89146-3165 | 2019-02-08 |
| 1386851707 | Olga Mendoza | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-05-16 |
| Street Address |
5580 19TH COUNT SW UNIT 2 |
| City | NAPLES |
| State | FL |
| Zip Code | 34116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058455 | Angela Maria Eastman | Pharmacist | 4849 Golden Gate Parkway, Naples, FL 34116 | 2020-09-23 |
| 1841828167 | Annie Sanabria | Specialist/Technologist | 2117 Sunshine Blvd Apt A, Naples, FL 34116 | 2020-03-31 |
| 1487142519 | Yandra Teresa Alvarez I | Nursing Care | 4696 Golden Gate Pkwy., Apt:a, Naples, FL 34116 | 2018-04-24 |
| 1861933251 | Vivian Reyes Carmenate | Behavior Technician | 4425 19th Pl Sw, Naples, FL 34116 | 2017-03-17 |
| 1992108419 | Nery Cardenas | Social Worker | 11725 Collier Blvd Suite A-2, Naples, FL 34116 | 2014-09-29 |
| 1437459559 | Gifford Chiropractic & Neurodiagnostic Center, Pa | Chiropractor | 4930 Golden Gate Pkwy., Naples, FL 34116 | 2010-10-22 |
| 1194047704 | Jose Francisco Baldoquin | Pharmacist | Kmart 4955 Golden Gate Parkway, Naples, FL 34116 | 2010-02-23 |
| 1851627798 | Victor Antonio Delgado | Massage Therapist | 5321 27th Ave Sw, Naples, FL 34116 | 2009-10-28 |
| 1225362692 | Santa Barbara Pain and Injury Rehab LLC | Chiropractor | 2006 Santa Babara Blvd, Naples, FL 34116 | 2009-10-01 |
| 1336397462 | Julio Cesar Dejardens | General Practice | 5580 19th Ct. Sw Unit 2, Naples, FL 34116 | 2008-09-03 |
| Find all providers in zip 34116 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508424656 | Longevity Health Pilots LLC | General Practice | 8171 Bay Colony Dr Apt 902, Naples, FL 34108-7564 | 2019-06-04 |
| 1326583485 | Dwic of Tampa Bay, Inc | General Practice | 13005 Collier Boulevard, Naples, FL 34116-4003 | 2016-12-28 |
| 1467804898 | Dr William J Espinoza, Pa | General Practice | 12268 Tamiami Trl E Ste 301, Naples, FL 34113-7946 | 2016-07-11 |
| 1295195725 | Dr Manuel A Fernandez, Pa | General Practice | 12268 Tamiami Trl E, Suite 301, Naples, FL 34113-7946 | 2016-02-25 |
| 1639538176 | Charlemagne Marius | General Practice | 3761 20th Ave Se, Naples, FL 34117-9186 | 2016-02-11 |
| 1891131330 | Kantibhai S Patel | General Practice | 2796 Jude Island Way, Naples, FL 34119-7527 | 2013-05-10 |
| 1790024941 | Douglas Mair Gebbie | General Practice | 100 Glenview Pl Apt 907, Naples, FL 34108-3131 | 2013-02-07 |
| 1043455959 | Ovidio R Pozo | General Practice | 1737 Knights Way, Naples, FL 34112-5325 | 2008-12-05 |
| 1336397462 | Julio Cesar Dejardens | General Practice | 5580 19th Ct. Sw Unit 2, Naples, FL 34116 | 2008-09-03 |
| 1770784621 | Susan Lynn Hetman | General Practice | 6624 Trident Way, Naples, FL 34108-8242 | 2007-05-29 |
| Find all providers in NAPLES | ||||
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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.