JORGE MENDOZA (NPI# 1134464860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134464860 |
| Entity Type | Individual |
| Full Name | JORGE MENDOZA |
| Practice Address |
1202 W Civic Center Dr Santa Ana CA 92703-2252 |
| Practice Telephone | 7142450045 |
| Mailing Telephone | 7142450045 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649769944 | Jorge Luis Mendoza | Counselor | 4625 Lillian St, Houston, TX 77007-5544 | 2018-05-02 |
| 1548648926 | Jorge Mendoza | Counselor | 1679 E Main St, Ste. 102, El Cajon, CA 92021-5212 | 2015-05-18 |
| 1659787778 | Jorge Mendoza | Behavioral Analyst | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2014-07-09 |
| 1811152341 | Jorge Alberto Mendoza Jr. | Radiology | 13280 Evening Creek Dr S Ste 110, San Diego, CA 92128-4109 | 2008-07-24 |
| Street Address |
1202 W CIVIC CENTER DR |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92703-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194848846 | Rose Ortega | Counselor | 1202 W Civic Center Dr, Ste. # 205, Santa Ana, CA 92703-2252 | 2007-04-09 |
| 1982164307 | Veronica Viramontes | Counselor | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2019-03-21 |
| 1396204764 | Cynthia Zanabria | Counselor | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2019-03-15 |
| 1225507536 | Christine Molina Deleo | Counselor | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2018-11-15 |
| 1952804122 | Mary Lou Davila | Adult Companion | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2018-03-14 |
| 1154824241 | Marsha Espinosa | Counselor | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2018-03-14 |
| 1821515867 | Belinda Elisabeth Echevers | Counselor | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2017-08-29 |
| 1821522129 | Kristy Flores | Counselor | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2017-04-13 |
| 1235678780 | Ronald Gomez | Counselor | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2017-02-16 |
| 1659810174 | Brian Clements | Counselor | 1202 W Civic Center Dr, Suite 205, Santa Ana, CA 92703-2252 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580806 | F Rodef & B Yousefi Dental Corporation | Dentist | 100 N. Harbor Blvd Suite #c-7, Santa Ana, CA 92703 | 2019-10-28 |
| 1699283465 | Vinnie Quan Nguyen | Pharmacist | 941 Fair Way, Santa Ana, CA 92703 | 2018-01-16 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1568823342 | Reina M Escolero | Registered Nurse | 1708 W. 12th Street, Santa Ana, CA 92703 | 2016-03-08 |
| 1528427994 | Nathaniel Gandy Lane | Physician Assistant | 420 S. Bristol St., Santa Ana, CA 92703 | 2016-02-15 |
| 1285035626 | Elizabeth Nieto Patino | Specialist/Technologist | 4201 W 5th St #211, Santa Ana, CA 92703 | 2014-09-04 |
| 1790113108 | Monica Susie Kim | Acupuncturist | 100 N Harbor Blvd., Unit C-7, Santa Ana, CA 92703 | 2013-10-22 |
| 1730525833 | Ryan Hoida | Counselor | 1202 W Civic Dr, Santa Ana, CA 92703 | 2013-05-15 |
| 1861777625 | Minh Pharmacy | Pharmacy | 5110 Westminster Ave #b, Santa Ana, CA 92703 | 2011-10-12 |
| 1518241868 | James Shon | Acupuncturist | 1111 N. Bristol #j, Santa Ana, CA 92703 | 2011-10-05 |
| Find all providers in zip 92703 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063987097 | Bridgetthe Correa | Case Manager/Care Coordinator | 2001 E 4th St # 200205, Santa Ana, CA 92705-3916 | 2018-10-05 |
| 1023509643 | Scott Wesley Kennifer | Case Manager/Care Coordinator | 1300 S Grand Ave Ste 213, Santa Ana, CA 92705-4434 | 2018-05-21 |
| 1265920698 | Elecia P Weathersby | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C-213, Santa Ana, CA 92705-4434 | 2018-05-01 |
| 1538667860 | Micaela Hassan | Case Manager/Care Coordinator | 2720 S Bristol St # 200, Santa Ana, CA 92704-6207 | 2018-02-01 |
| 1841711934 | Irene Juanita Herrera | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C213, Santa Ana, CA 92705-4434 | 2017-06-29 |
| 1922559319 | Nancy Segovia | Case Manager/Care Coordinator | 2520 Red Hill Suite 100, Santa Ana, CA 92705 | 2016-10-20 |
| 1568813152 | Michael Anthony Maxey | Case Manager/Care Coordinator | 3922 S Timber St, Santa Ana, CA 92707-4953 | 2016-06-25 |
| 1326446139 | Irene Warkentine | Case Manager/Care Coordinator | 1300 S Grand Ave Bldg C-213, Santa Ana, CA 92705-4434 | 2014-12-10 |
| 1194128728 | Angelica Molina | Case Manager/Care Coordinator | 1140 W Santa Ana Blvd, Santa Ana, CA 92703-3833 | 2014-09-26 |
| 1679911341 | Milton Mucker | Case Manager/Care Coordinator | 302 N Tustin Ave, Suite 100, Santa Ana, CA 92705-3838 | 2013-06-04 |
| Find all providers in SANTA ANA | ||||
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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.