Vivian Mendoza (NPI# 1073556270, PAC ID# 4688561657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1073556270 |
| PAC ID by PECOS | 4688561657 |
| Professional Enrollment ID | I20040623000376 |
| Full Name | Vivian Mendoza |
| Organization Legal Name | AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. |
| Address |
1680 E 120th St Mlk Hospital Los Angeles CA 90059-3026 |
| Phone Number | 4243388000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 7315840535 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050603 | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24451 Health Ctr Dr, Laguna Hills, CA 92653-3689 | 3102253244 | AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. |
| 1680 E 120th St, Mlk Hospital, Los Angeles, CA 90059-3026 | 4243388000 | AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. |
| Organization Legal Name | AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicolas Gallegos | Pathology | Affiliated Pathologists Medical Group, Inc. | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 |
| Alfred M Yamamoto | Pathology | Affiliated Pathologists Medical Group, Inc. | 3700 E S St, Lakewood, CA 90805-4521 |
| Lindsay Zamis Dellamaggiora | Pathology | Affiliated Pathologists Medical Group, Inc. | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Jennifer F O Dell | Pathology | Affiliated Pathologists Medical Group, Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Ronald W Slaughter | Pathology | Affiliated Pathologists Medical Group, Inc. | 10 Woodland Rd, Pathology Department, St Helena, CA 94574-9554 |
| Galen R Cortina | Pathology | Affiliated Pathologists Medical Group, Inc. | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Hany M Halawa | Pathology | Affiliated Pathologists Medical Group, Inc. | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 |
| Georgia Liles Tunstill | Pathology | Affiliated Pathologists Medical Group, Inc. | 350 Terracina Blvd, Redlands, CA 92373-4850 |
| Kelli Aleece Chase | Pathology | Affiliated Pathologists Medical Group, Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Scott W Binder | Pathology | Affiliated Pathologists Medical Group, Inc. | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 |
| Street Address |
1680 E 120TH ST MLK HOSPITAL |
| City | LOS ANGELES |
| State | CA |
| Zip | 90059-3026 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pratima Subedi | Internal Medicine | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Haatal B Dave | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Heidi L Clausen | Nurse Practitioner | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Jason Evan Prasso | Critical Care (intensivists) | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Adan De Jesus Romero Lopez | Family Medicine | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Sarah N Khan | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Efrain Talamantes | Internal Medicine | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Jiandong Wei | Internal Medicine | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Juan P Villablanca | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Se Jin Ahn | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ajay Gupta | Nephrology | 11859 Compton Ave, Los Angeles, CA 90059-2958 | |
| Thuc B Tu | Internal Medicine | 11859 Compton Ave, Los Angeles, CA 90059-2958 | |
| Marcus Nesbeth | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Barbara A Caiquo Sears | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Aklil Tadesse | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Jennifer K Lyons | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Frederick Rutherford | Oral Surgery | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Karen Theophile | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Ward A Robidart | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Bartholomew Gilliam | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Find all physicians in zip 90059 | |||
| City | LOS ANGELES |
| Zip Code | 90059 |
| Specialty | PATHOLOGY |
| City + Specialty | LOS ANGELES + PATHOLOGY |
Please comment or provide details below to improve the information on Vivian Mendoza.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.