MICHAEL FORNOLES MENDOZA (NPI# 1720209661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720209661 |
| Entity Type | Individual |
| Full Name | MICHAEL FORNOLES MENDOZA |
| Credential | PA-C |
| Practice Address |
15031 Rinaldi St Mission Hills CA 91345-1207 |
| Mailing Address |
20811 Tulsa St Chatsworth CA 91311-1535 |
| Practice Telephone | 8183658051 |
| Mailing Telephone | 8184272141 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA18750 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA18750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681808 | Michael V Mendoza | Student in an Organized Health Care Education/Training Program | 6955 Alvarado Rd Unit 42, San Diego, CA 92120-5316 | 2020-02-13 |
| 1467756999 | Michael Mendoza | Developmental Therapist | 1226 Park Ave # 3, Woonsocket, RI 02895-6533 | 2010-12-23 |
| 1417169483 | Michael F. Mendoza | Specialist/Technologist | 171 Old Rockside Rd, Seven Hills, OH 44131-1720 | 2007-05-04 |
| 1861435729 | Michael A. Mendoza | Chiropractor | 1114 Colorado Blvd, Los Angeles, CA 90041-2504 | 2006-06-14 |
| 1407831688 | Michael Thomas Mendoza | Physical Therapist | 245 Terracina Blvd, Redlands, CA 92373 | 2005-12-12 |
| 1063049724 | Michael David Mendoza | Physical Therapist | 401 E Illinois Ave, Midland, TX 79701-4803 | 2020-03-24 |
| 1801377148 | Michael Mendoza | Dietitian, Registered | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 2018-08-24 |
| 1629423488 | Michael Anthony Mendoza | Community Health Worker | 40 Boardman Pl, San Francisco, CA 94103-4729 | 2016-04-29 |
| 1639588635 | Michael Mendoza | Student in an Organized Health Care Education/Training Program | 8930 Brown Dr, Hospital Dentistry, Bld 9, 2nd Fl, Bethesda, MD 20889-5629 | 2014-08-05 |
| 1366769705 | Michael V. Mendoza | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2010-04-26 |
| Street Address |
15031 RINALDI ST |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522585 | Shamel Sanani | Internal Medicine | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2005-07-18 |
| 1669089405 | Deepti Bhatnagar | Registered Nurse | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-09-25 |
| 1316552615 | Monet Andrea Quon | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-09-14 |
| 1952930166 | Nicholas Giovanni Cascelli | Specialist/Technologist | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-04-08 |
| 1730718602 | Monica Caro | Specialist/Technologist | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-04-03 |
| 1538791447 | Jennifer Cooney | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-02-08 |
| 1770124406 | Sondra Yvette Ortiz | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-10-03 |
| 1215582077 | Anna Gray | Registered Nurse | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-08-07 |
| 1073175873 | Lorraine Margaret Estronick | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-07-01 |
| 1245890706 | Evan Jonathan Valle PC | Surgery | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1396374799 | Robert Michael Anderson | Physician Assistant | 10630 Sepulveda Blvd Ste 100, Mission Hills, CA 91345-1937 | 2020-04-07 |
| 1801251087 | Jennifer Kulesza | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2015-12-15 |
| 1912384181 | Evan Quick | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2015-04-27 |
| 1144654609 | Bahar Mehdizadeh Naderi | Physician Assistant | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2013-09-02 |
| 1023455706 | Lisa Ben Refael | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2013-06-04 |
| 1720394000 | Marie N Hamilton | Physician Assistant | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2010-08-25 |
| 1578884136 | Catherine P. Czubiak | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2010-06-17 |
| 1215254461 | Michele Missakian | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2010-04-28 |
| 1821313875 | Marian E Ammari | Physician Assistant | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2010-04-02 |
| Find all providers in MISSION HILLS | ||||
| City | MISSION HILLS |
| Zip Code | 91345 |
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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.