MARK D. MENDOZA (NPI# 1275610107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275610107 |
| Entity Type | Individual |
| Full Name | MARK D. MENDOZA |
| Credential | MD |
| Practice Address |
900 Kiely Blvd Santa Clara CA 95051-5329 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 4082366400 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A71534 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A715340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683778 | Mark Mendoza | Nurse Practitioner | 888 S King St, Honolulu, HI 96813-3097 | 2018-09-18 |
| 1992127757 | Mark Mendoza | Counselor | 11100 Valley Blvd Ste 116, El Monte, CA 91731-2533 | 2014-01-14 |
| 1558336339 | Mark Mendoza | Chiropractor | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2006-02-23 |
| Street Address |
900 KIELY BLVD |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-5329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801826904 | Jong Chan Park | Internal Medicine | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2006-07-04 |
| 1003937285 | Swarna L Koneru | Dietitian, Registered | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-04-03 |
| 1518096924 | Lawrence George Dong | Specialist | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-03-02 |
| 1649305772 | Zackary Douglas Vaughn | Orthopaedic Surgery | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-02-22 |
| 1841330040 | Alan T Sung | Pharmacist | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-02-07 |
| 1528104072 | Andrea Renee Marley | Physical Therapist | 900 Kiely Blvd, Santa Clara, CA 95051 | 2007-01-30 |
| 1215073937 | Gretchen Gwyn Craig | Physical Therapist | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-29 |
| 1780739771 | Margaret Angela Moffitt Goebel | Nurse Anesthetist, Certified Registered | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-23 |
| 1518011410 | Lori Marie Fernandez | Dietitian, Registered | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-22 |
| 1316090913 | Ming-jing Wang | Anesthesiology | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773690 | Christian Hamm | Pharmacist | Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 | 2019-04-10 |
| 1053879692 | Jiaqi Weng | Acupuncturist | 2062 Walsh Ave Suite B2, San Clare, CA 95051 | 2019-03-02 |
| 1699293209 | Leslie Avalos | Massage Therapist | 3530 Lochnivar Ave, Santa Clara, CA 95051 | 2017-09-04 |
| 1831552843 | Miral Neel Patel | Physical Therapist | 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 | 2016-03-29 |
| 1861831117 | Alison Wong | Emergency Medicine | 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 | 2013-06-20 |
| 1073889291 | Brittany Lee Bianchi | Speech-Language Pathologist | 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 | 2012-04-02 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1598054991 | David Phillip Guo | Urology | 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 | 2011-04-06 |
| 1043528573 | Jennifer Hui Young | Chiropractor | 2342 Walsh Ave, Santa Clara, CA 95051 | 2010-09-17 |
| 1386961217 | Assefa Gebremichael | Pharmacist | 1000 Kiely Blvd, #91, Santa Clara, CA 95051 | 2010-05-03 |
| Find all providers in zip 95051 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689847220 | Farzin Alborzi | Internal Medicine | 710 Lawrence Expy, Santa Clara Medical Center, Santa Clara, CA 95051-5173 | 2008-04-03 |
| 1134207707 | Jocelyn C. Ho | Internal Medicine | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2006-11-01 |
| 1265519110 | David S. Goya | Internal Medicine | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2006-10-31 |
| 1114003043 | Thomas M. Dailey | Internal Medicine | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2006-10-31 |
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| 1356903298 | Benjamin R Deaton Md Inc. | Internal Medicine | 7468 Muirwood Ct, Pleasanton, CA 94588-4232 | 2019-07-01 |
| 1851950232 | Riverside Medical Clinic Inc | Internal Medicine | 4100 Central Ave Ste 201, Riverside, CA 92506-2930 | 2019-06-10 |
| 1407414329 | Riverside Medical Clinic Inc | Internal Medicine | 2079 Compton Ave Ste A101, Corona, CA 92881-7284 | 2019-06-05 |
| 1144718875 | Jeffrey Tobias | Internal Medicine | 10 Lavender Ter, Petaluma, CA 94952-4938 | 2018-04-27 |
| 1780187229 | Jesse Robles | Internal Medicine | 651 Sunnyside Ave, San Diego, CA 92114-4945 | 2018-03-12 |
| 1710403183 | Excelcare | Internal Medicine | 2400 Chester Ave, Bakersfield, CA 93301-4020 | 2017-08-17 |
| 1255865549 | Liou Medical Inc | Internal Medicine | 17310 Evening Star Ave, Cerritos, CA 90703-8318 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARA |
| Zip Code | 95051 |
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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.