MICHELLE RIEGO MENDOZA (NPI# 1902345929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902345929 |
| Entity Type | Individual |
| Full Name | MICHELLE RIEGO MENDOZA |
| Credential | O.D. |
| Practice Address |
1145 Sturgis Rd Clinic D Twentynine Palms CA 92278 |
| Mailing Address |
1145 Sturgis Road Twentynine Palms CA 92277 |
| Practice Telephone | 7608302458 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33623 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215449855 | Michelle Isabella Mendoza | Licensed Vocational Nurse | 2618 S Pine Valley Ave, Ontario, CA 91761-7417 | 2017-11-03 |
| 1962468298 | Michelle Mendoza | Internal Medicine | 1721 N Lee Trevino Dr Ste 300, El Paso, TX 79936-4563 | 2006-04-25 |
| 1932564663 | Michelle Mendoza | Pharmacist | 806 W Ramsey St, Banning, CA 92220-4478 | 2015-12-23 |
| 1043609787 | Michelle Mendoza | Counselor | 21520 Pioneer Blvd Ste 110, Hawaiian Gardens, CA 90716-2604 | 2015-01-19 |
| 1619229879 | Michelle Mendoza | Nurse Practitioner | 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 | 2012-10-11 |
| 1063796332 | Michelle Mendoza | Physical Therapist | 2480 Mission St, Suite #331, San Francisco, CA 94110-2468 | 2011-10-05 |
| 1417122417 | Michelle Erika Mendoza | Pharmacist | 6250 Paseo Del Norte Ne, Albuquerque, NM 87113-1712 | 2008-04-29 |
| 1780786368 | Michelle Mendoza | Dentist | 279 W Main St, Suite 110, Frisco, TX 75034-4306 | 2006-09-02 |
| 1194748681 | Michelle Mendoza | Physical Therapist | 2324 Sacramento St, Ste 111, San Francisco, CA 94115-2383 | 2006-07-25 |
| Street Address |
1145 STURGIS RD CLINIC D |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843004 | Gregory Nevonen | Nurse Anesthetist, Certified Registered | 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2020-05-26 |
| 1245892827 | Mark Thomas Sebald | Nurse Anesthetist, Certified Registered | 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2019-07-03 |
| 1851876015 | Kathryn Buchanan | Audiologist | 1145 Sturgis Rd, Marine Corps Base, Twentynine Palms, CA 92278 | 2018-10-03 |
| 1972011740 | Ryan Joseph Hollins | Physical Therapist | 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2018-01-16 |
| 1336669415 | Omar Kareem Dalton | Military Health Care Provider | 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2017-06-21 |
| 1982145710 | Aly Goldfarb | Physician Assistant | 1145 Sturgis Rd, Box 788250, Twentynine Palms, CA 92278-8250 | 2017-03-13 |
| 1073063491 | Matthew Orr | Physical Therapist | 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2016-10-10 |
| 1710339239 | Paige Bowman | Family Medicine | 1145 Sturgis Rd, Twentynine Palms, CA 92277 | 2016-07-08 |
| 1033569207 | Teresa Marie Gilbride Trufant | Obstetrics & Gynecology | 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2016-06-17 |
| 1285037242 | Marddi Jean Rahn | Nurse Practitioner | 1145 Sturgis Rd, Mcagcc, Twentynine Palms, CA 92278 | 2014-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
| 1427544659 | Matthew John Thacker | Dentist | 1591 Griffin Rd., Twentynine Palms, CA 92278 | 2018-07-11 |
| 1922541986 | Joshua Gumpert | Physician Assistant | 1560 6th St, 2nd Deck, Twentynine Palms, CA 92278 | 2016-11-23 |
| 1427441112 | Joshua Bellavia | Military Health Care Provider | Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 | 2015-03-05 |
| 1730583063 | Erric Leif Apeland | Military Health Care Provider | 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 | 2014-10-15 |
| 1609286137 | Jason Ulaner | Chiropractor | 1145 Sturgis St, Twentynine Palms, CA 92278 | 2014-05-06 |
| 1497184188 | Blake Lyman | Physician Assistant | 1552 6th Street, Adult Medical Care Clinic, Twentynine Palms, CA 92278 | 2013-11-04 |
| 1013267996 | Alonzo Jamelle Shields | Military Health Care Provider | Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 | 2012-09-18 |
| 1184996134 | William John Becker | Physician Assistant | Mcagcc, Building 1538, Twnetynine Palms, CA 92278 | 2012-02-07 |
| 1962666776 | Michael D Vanmanen | Orthopaedic Surgery | Bldg 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2008-07-11 |
| Find all providers in zip 92278 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789794 | Maria T Sheldrake | Optometrist | 1145 Sturgis Street, Naval Hospital, Twentynine Palms, CA 92278-8250 | 2006-02-17 |
| 1659927788 | Tyler Pharr Hamby | Optometrist | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2019-08-14 |
| 1982837035 | Nathan J. Hawkins | Optometrist | Bldg 1145 Sturgis St., Naval Hospital, Attn Professional Affairs, Twentynine Palms, CA 92278-8250 | 2009-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92278 |
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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.