CARLOS R MENDOZA (NPI# 1235349465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235349465 |
| Entity Type | Individual |
| Full Name | CARLOS R MENDOZA |
| Practice Address |
1250 Morena Blvd San Diego CA 92110-3815 |
| Practice Telephone | 6196928715 |
| Mailing Telephone | 6197722619 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255984191 | Carlos F Mendoza | Technician/Technologist | 22323 Sherman Way Ste 14, Canoga Park, CA 91303-4310 | 2019-07-19 |
| 1316293574 | Carlos Alberto Mendoza | Psychologist | 4045 Laurel Park Way, Reno, NV 89502-7916 | 2012-07-25 |
| 1619965894 | Carlos A Mendoza | Internal Medicine | 9141 Grant St, Suite 200, Thornton, CO 80229-4374 | 2005-10-11 |
| 1881171965 | Carlos C Mendoza IIi | Pharmacist | 17238 Bulverde Road, San Antonio, TX 78247 | 2018-07-23 |
| 1811429533 | Carlos Mendoza | Counselor | 1731 W Walnut Ave, Visalia, CA 93277-6232 | 2017-03-31 |
| 1437529732 | Carlos Mendoza | Counselor | 707 S Fry Rd Ste 465, Katy, TX 77450-2259 | 2015-09-29 |
| 1750793188 | Carlos Mendoza Jr. | Counselor | 1222 Monaco Ct, Suite 28, Stockton, CA 95207-6742 | 2014-05-20 |
| 1093051823 | Carlos Alberto Mendoza | Massage Therapist | 5127 Nw 39th Ave, Gainesville, FL 32606-5943 | 2012-12-26 |
| 1295803658 | Carlos Alberto Mendoza | Dentist | 453 Mother Gaston Blvd, Brooklyn, NY 11212-7617 | 2006-12-01 |
| Street Address |
1250 MORENA BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326138090 | Emily N Wang | Counselor | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2006-10-13 |
| 1235748856 | Linda Kay Schaefer | Student in an Organized Health Care Education/Training Program | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2020-07-29 |
| 1336758085 | Daniel Kruse | Student in an Organized Health Care Education/Training Program | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2020-07-29 |
| 1073172862 | Genevieve Maurine Ford | Student in an Organized Health Care Education/Training Program | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2019-06-06 |
| 1215404850 | Michelle Willcuts | Counselor | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2018-11-01 |
| 1851877708 | Christine Marie Cate | Social Worker | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2018-07-13 |
| 1225531148 | Briana Schuler | Case Manager/Care Coordinator | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2018-03-16 |
| 1700398385 | Michael John Griffin | Case Manager/Care Coordinator | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2017-11-03 |
| 1831625086 | Lisa Boinnard | Counselor | 1250 Morena Blvd, San Diego, CA 92110 | 2017-05-10 |
| 1316472046 | Madaline Lomibao | Student in an Organized Health Care Education/Training Program | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2017-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| 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 |
|---|---|---|---|---|
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1770105439 | Timothy Mccloud | Case Manager/Care Coordinator | 6160 Mission Gorge Rd # 108, San Diego, CA 92120-3410 | 2020-05-15 |
| 1043846272 | Daniel Rafael Martinez | Case Manager/Care Coordinator | 8825 Aero Dr Ste 305, San Diego, CA 92123-2270 | 2020-03-19 |
| 1043844376 | Ariel A Anderson | Case Manager/Care Coordinator | 8501 Larkdale Ave, San Diego, CA 92123-2047 | 2020-02-25 |
| 1124664818 | Sarah Milan | Case Manager/Care Coordinator | 1846 30th St Apt A, San Diego, CA 92102-1145 | 2019-11-18 |
| 1750930814 | Christine Guianne Mupas Ramos | Case Manager/Care Coordinator | 1660 Hotel Cir N # 320, San Diego, CA 92108-2807 | 2019-09-10 |
| 1437708518 | Brendan Domingo Guerra | Case Manager/Care Coordinator | 5617 Vista San Juanico, San Diego, CA 92154-5672 | 2019-09-10 |
| 1457912982 | Kendra Crater | Case Manager/Care Coordinator | 3481 Kurtz St, San Diego, CA 92110-4430 | 2019-06-25 |
| 1790342319 | Ariella Beth Darlington | Case Manager/Care Coordinator | 3644 Princeton Ave, San Diego, CA 92117-5637 | 2019-05-20 |
| 1013572361 | Brandon Joel Jessie | Case Manager/Care Coordinator | 1250 Morena Blvd Bldg 2nd, San Diego, CA 92110-3815 | 2019-05-02 |
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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.