ALLEN CHRISTOPHER MENDOZA (NPI# 1528553062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528553062 |
| Entity Type | Individual |
| Full Name | ALLEN CHRISTOPHER MENDOZA |
| Practice Address |
4612 Roosevelt Ave Sacramento CA 95820-4520 |
| Mailing Address |
4604 Roosevelt Ave Sacramento CA 95820-4520 |
| Practice Telephone | 9164573129 |
| Mailing Telephone | 9164573129 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 684156 | CA | Nursing Service Providers |
| Street Address |
4612 ROOSEVELT AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95820-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265455893 | Melissa Vanteslaar | Marriage & Family Therapist | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2006-07-25 |
| 1497362057 | Liana Loren Perez | Licensed Vocational Nurse | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-09-28 |
| 1811502040 | Maddysen Casimir-taylor | Counselor | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-09-14 |
| 1316557465 | Bintu Sia Sorie | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-08-04 |
| 1770101735 | Sheryll Pragasa | Counselor | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-07-07 |
| 1326679812 | Tia Dalipe | Technician, Pathology | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-02-03 |
| 1962062844 | Ashley A Vicens | Licensed Vocational Nurse | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2019-06-13 |
| 1699258392 | Odubanke Yewande Mcgaugh | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2018-09-10 |
| 1558854158 | Laura Jeanne Bishop | Counselor | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2018-06-08 |
| 1043728256 | Celeste Lomeli | Counselor | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
| 1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
| 1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
| 1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
| 1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
| 1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
| 1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
| 1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
| 1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
| Find all providers in zip 95820 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605674 | Jenifer Nicole Mclean | Licensed Vocational Nurse | 25 La Pera Ct Apt 3, Sacramento, CA 95823-3069 | 2020-10-06 |
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1891307617 | Sunhee Park | Licensed Vocational Nurse | 10048 Briantown Ct, Sacramento, CA 95827-2945 | 2020-08-21 |
| 1003439076 | Jack Shearer | Licensed Vocational Nurse | 330 N St Apt 18, Sacramento, CA 95814-4302 | 2020-05-25 |
| 1518502079 | Freida Anosan Agpad | Licensed Vocational Nurse | 5051 N Laguna Dr, Sacramento, CA 95823-6811 | 2019-11-08 |
| 1679122766 | Sunny Rose Gutierrez | Licensed Vocational Nurse | 1959 Alice Way, Sacramento, CA 95834-2807 | 2019-09-10 |
| 1477100774 | Catherine Wanjiku Mwangi | Licensed Vocational Nurse | 6801 Casa Del Este Way, Sacramento, CA 95828-1305 | 2019-08-21 |
| 1639730534 | Whitney Rene Firebaugh | Licensed Vocational Nurse | 4004 1/2 57th St, Sacramento, CA 95820-3156 | 2019-06-22 |
| 1881255743 | Steven Lindhorst | Licensed Vocational Nurse | 3712 Jo Ann Dr, Sacramento, CA 95821-3817 | 2019-06-21 |
| 1306404488 | Adaeze Nkwocha | Licensed Vocational Nurse | 2710 Stonecreek Dr Apt 184, Sacramento, CA 95833-1956 | 2019-06-03 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95820 |
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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.