STACEY MENDOZA


Address: 360 Recreation Ave, Sanger, CA 93657-2564
Phone: 5592834108

STACEY MENDOZA (NPI# 1265937510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265937510
Entity Type Individual
Full Name STACEY MENDOZA
Credential MS, ATC, CSCS
Practice Address 360 Recreation Ave
Sanger
CA 93657-2564
Practice Telephone 5592834108
Mailing Telephone 5592834108
Enumeration Date 2018-03-28
Last Update Date 2019-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
3532 Monroe St, Riverside, CA 925046322 9516874610

Office Location

Street Address 360 RECREATION AVE
City SANGER
State CA
Zip Code 93657-2564

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568871853 Bernardo Bretado Counselor 2017 Mary Street, Sanger, CA 93657 2014-08-12
1902238033 Robin Christine Ploharz Counselor 1822 Jensen Ave #102-104, Sanger, CA 93657 2013-07-31
1629419833 Elim Place, Inc. Assisted Living Facility 1808 5th Street, Sanger, CA 93657 2013-07-16
1568716793 Paul Sylvan Cheney Dentist 620 S. Fairbanks Ave., Sanger, CA 93657 2012-11-09
1336409820 Jocelyn Ann Mizunaka Family Medicine 1570 7th Street, Sanger, CA 93657 2012-05-18
1912216581 Sampath Wijesinghe Physician Assistant 1393 Academy Ave, Sanger, CA 93657 2010-09-30
1528144185 Daniel Richard Souza Physical Therapist 2570 Jensen A Ve #108, Sanger, CA 93657 2006-10-27
1023102654 Herbert Lance Crooks Dentist 2434 Jensen, Sanger, CA 93657 2006-10-03
1689633174 Donald T Negri Od Inc Optometrist 1329 8th St, Sanger, CA 93657 2006-03-22
1265400410 Gurinder Pal Singh Narain Internal Medicine 800 N Street, Sanger, CA 93657 2006-03-14
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053761098 Christian Galindo Specialist/Technologist 3218 N Mccall Ave, Sanger, CA 93657-9385 2016-06-21
1437366424 Misti Kai Knight Specialist/Technologist 1650 West Chapman, Sanger, TX 76266 2007-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003417981 David Yudis Specialist/Technologist 82 Victoria Ste 201, Newport Beach, CA 92660-9009 2020-11-05
1790385466 Tamia Shoshone Specialist/Technologist 2823 Diaz Lane, Bishop, CA 93514 2020-10-30
1639779630 Taylor Anderson Specialist/Technologist 3320 Honolulu Ave Apt 11, La Crescenta, CA 91214-3389 2020-10-28
1548869571 Joshua Watersjackson Specialist/Technologist 430406 Las Pulgas, Camp Pendleton, CA 92055 2020-10-21
1063011278 Hilary Ann King Specialist/Technologist 824 W Maple Ave, Tulare, CA 93274-2609 2020-10-19
1568069854 Tess Buchanan Specialist/Technologist 4480 Leatherwood Ct, Concord, CA 94521-4416 2020-10-08
1407453343 Peter Wang Specialist/Technologist 3034 Belmont Dr, Lodi, CA 95242-9732 2020-10-05
1164029138 Marisa Angelina Terrazas Specialist/Technologist 1416 Rampart Dr, Roseville, CA 95661-4749 2020-10-02
1427665645 Alvaro Juarez Jr. Specialist/Technologist 31550 Palomar Rd, Menifee, CA 92584-9258 2020-09-30
1407462237 Lorenzo Aguirre Specialist/Technologist 1836 Lapham Dr, Modesto, CA 95354-3900 2020-09-17
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Competitor

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City SANGER
Zip Code 93657

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Dataset Information

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.

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