ROSA MENDOZA (NPI# 1356571202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356571202 |
| Entity Type | Individual |
| Full Name | ROSA MENDOZA |
| Practice Address |
1704 W Manchester Ave Los Angeles CA 90047-3063 |
| Mailing Address |
4098 W 139th St Hawthorne CA 90250-7304 |
| Practice Telephone | 3237514778 |
| Mailing Telephone | 3237514778 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316106982 | Rosa Isela Mendoza | Registered Nurse | 1409 Highway 22, Whitney, TX 76692-7624 | 2008-06-08 |
| 1215560602 | Rosa Mendoza | Behavior Technician | 391 Jenks Dr, Corona, CA 92880-2518 | 2020-02-13 |
| 1366099228 | Rosa Mendoza | Chore Provider | 1325 Airmotive Way Ste 262, Reno, NV 89502-3240 | 2019-08-23 |
| 1093219719 | Rosa E Mendoza | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1649683830 | Rosa M. Mendoza | Family Medicine | 610 W 158th St, New York, NY 10032-7104 | 2014-06-05 |
| 1548529951 | Rosa Romano Mendoza | Dentist | 6850 Brockton Ave Ste 106, Riverside, CA 92506-3814 | 2012-05-07 |
| Street Address |
1704 W MANCHESTER AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083643837 | Morningside Primary Care Medical Ctr, Inc | General Practice | 1704 W Manchester Ave, Suite 101, Los Angeles, CA 90047-3034 | 2006-07-02 |
| 1225662331 | Erika Hall | Case Manager/Care Coordinator | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2020-02-27 |
| 1083177372 | Jessica Bessette | Nurse Practitioner | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2019-04-12 |
| 1053707182 | Pacific Coast Medical Supply | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave, Suite 105, Los Angeles, CA 90047-3063 | 2015-04-15 |
| 1245637362 | God's Property Sober Living Foundation | Substance Abuse Rehabilitation Facility | 1704 W Manchester Ave, Suite 210, Los Angeles, CA 90047-3063 | 2014-12-04 |
| 1851702286 | Morningside Specialty Hospital Inc. | Special Hospital | 1704 W Manchester Ave, Suite 206k, Los Angeles, CA 90047-3063 | 2014-05-20 |
| 1053722256 | Loving Touch Hospice Care, Inc. | Hospice Care, Community Based | 1704 W Manchester Ave, Suite 101-d, Los Angeles, CA 90047-3063 | 2014-05-11 |
| 1982023628 | Jahreese Barber | Counselor | 1704 W Manchester Ave, Suite 203, Los Angeles, CA 90047-3063 | 2014-04-09 |
| 1245655745 | Brighter Beginnings Drug and Alcohol Rehabilitation Facility | Community/Behavioral Health | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2014-02-20 |
| 1518236017 | Nueva Esperanza Healthcare Medical Clinic Inc. | Family Medicine | 1704 W Manchester Ave, Suite 109, Los Angeles, CA 90047-3063 | 2011-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| 1174788400 | Frenda Brigette Williams | Dentist | 2015 W 81st St, Los Angeles, CA 90047 | 2008-07-25 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
Please comment or provide details below to improve the information on ROSA MENDOZA.
| 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.