ANGELICA MENDOZA


Address: 1628 Broadway St, Vallejo, CA 94590-2405
Phone: 7076498300

ANGELICA MENDOZA (NPI# 1699399634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699399634
Entity Type Individual
Full Name ANGELICA MENDOZA
Credential MEDICAL ASSISTANT
Practice Address 1628 Broadway St
Vallejo
CA 94590-2405
Practice Telephone 7076498300
Practice Fax Number 7076498302
Mailing Telephone 7076498300
Mailing Fax Number 7076498302
Enumeration Date 2020-06-05
Last Update Date 2020-06-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other B4K5W6G8 CA Technologists, Technicians & Other Technical Service Providers

Other Providers ANGELICA MENDOZA

NPI Name Taxonomy Address Enumeration
1760985238 Angelica Mendoza Behavior Technician 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 2018-03-12
1902158322 Angelica Mendoza Speech-Language Pathologist 4 Railroad Ave, Somerset, NJ 08873-2724 2012-10-09

Office Location

Street Address 1628 BROADWAY ST
City VALLEJO
State CA
Zip Code 94590-2405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730391319 Rashid Akbar Islam Legal Medicine 1628 Broadway St, Vallejo, CA 94590 2007-05-04
1467076497 William Arthur Joyce Licensed Vocational Nurse 1628 Broadway St, Vallejo, CA 94590-2405 2020-06-05
1245853399 Puneet Grewal Licensed Vocational Nurse 1628 Broadway St, Vallejo, CA 94590-2405 2020-05-23
1215550306 Aminah Him Licensed Vocational Nurse 1628 Broadway St, Vallejo, CA 94590-2405 2020-05-22
1164955530 Marquita King Counselor 1628 Broadway St, B, Vallejo, CA 94590-2405 2017-04-04
1912451410 Stephanie Dorsey Counselor 1628 Broadway St, Vallejo, CA 94590-2405 2016-08-12
1790149672 Sheila Kennedy Counselor 1628 Broadway St, Vallejo, CA 94590-2405 2016-04-07
1235596073 Latisha Calhoun Counselor 1628 Broadway St, Vallejo, CA 94590-2405 2016-01-25
1932446028 Samuel Eric Patterson Counselor 1628 Broadway St, B, Vallejo, CA 94590-2405 2013-01-09
1548505639 Medmark Treament Services Clinic/Center 1628 Broadway St, Vallejo, CA 94590-2405 2012-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265051445 Jaspreet Bains Licensed Vocational Nurse 508 Alabama Street, Vallejo, CA 94590 2020-04-08
1467097527 Deneane Hannon Behavioral Analyst 238 Georgia St. Ste 102, Vallejo, CA 94590 2019-11-13
1780243196 Abla Harara Almoraissi Health Educator John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 2019-06-10
1891264461 Brian Emory Kellogg Marriage & Family Therapist 525 Oregon St., Php/iop, Vallejo, CA 94590 2018-11-13
1952801862 Carica Theresa Saraza Macariola Specialist/Technologist 1007 Solano Avenue, Vallejo, CA 94590 2018-02-16
1770007973 Deborah A Johnson-white Licensed Vocational Nurse 908 Tuolumne, Vallejo, CA 94590 2017-07-29
1306378260 Edgar Diaz Counselor 236 Georgia Street Suite 101, Vallejo, CA 94590 2017-03-30
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1841605193 Lawana Lofton Psychologist 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 2014-06-25
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Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619590528 Brain Training Institute LLC Specialist/Technologist, Other 100 Pierre Rd Ste A, Walnut, CA 91789-2565 2020-05-26
1063050441 Medical Legal Experts Mle Specialist/Technologist, Other 4623 Hawthorne Blvd., Suite 401, Lawndale, CA 90260 2019-12-16
1720632045 Amanda M Vanderford Specialist/Technologist, Other 6150 Tule Lane, Foresthill, CA 95631 2019-07-25
1730655408 Linda Adkins Specialist/Technologist, Other 515 W 6th St Fl 9, Los Angeles, CA 90014-1201 2018-10-19
1346741576 Yasmin Ali Specialist/Technologist, Other 41019 Woodshire Dr, Palmdale, CA 93551-5746 2018-02-22
1669971164 Timothy Michael Dwyer Jr. Specialist/Technologist, Other 3225 S Townsend St, Santa Ana, CA 92704-6647 2018-02-09
1801305503 Judee H Carrico Specialist/Technologist, Other 2032 Thompson Ct Ste 12, Montrose, CA 91020-1652 2017-09-25
1033659388 Morgan Irene Gilfillan Specialist/Technologist, Other 1420 Hornblend St, Apt. 1, San Diego, CA 92109-4329 2017-03-06
1992245427 Jennifer Mcevoy Specialist/Technologist, Other 355 1st St Unit S805, San Francisco, CA 94105-3067 2017-03-02
1154781631 Harvey Sparks Specialist/Technologist, Other 350 Bon Air, Ste 100, Greenbrae, CA 94904 2016-02-26
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Competitor

Search similar providers

City VALLEJO
Zip Code 94590

Improve Information

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Dataset Information

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.

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