MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP (NPI# 1467695189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467695189 |
| Entity Type | Organization |
| Organization Name | MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP |
| Practice Address |
4020 Fifth Avenue Mer 14 San Diego CA 92103-2180 |
| Mailing Address |
1010 University Ave #1672 San Diego CA 92103-3395 |
| Practice Telephone | 6196863577 |
| Practice Fax Number | 6192607310 |
| Mailing Telephone | 6197273451 |
| Mailing Fax Number | 6192607310 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | DR. MICHELLE RENEE GUTIERREZ-MENDOZA (PHYSICIAN) |
| Authorized Official Telephone | 6197273451 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NW0100X |
General Acute Care Hospital Specialization: Women |
A90028 | CA | Hospitals |
| Street Address |
4020 FIFTH AVENUE MER 14 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 282NW0100X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Women |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407839921 | Sharp Memorial Hospital | General Acute Care Hospital | 7901 Frost St, San Diego, CA 92123-2701 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396126785 | Sweet Teat | General Acute Care Hospital | 32416 Hupp Dr, Temecula, CA 92592-1151 | 2015-06-11 |
| 1336582964 | Loma Linda University | General Acute Care Hospital | 1659 E G St Apt 243, Ontario, CA 91764-4488 | 2013-04-13 |
| 1659647741 | Nan Lai | General Acute Care Hospital | 13181 Contessa, Tustin, CA 92782-8743 | 2012-03-22 |
| 1679725980 | Lausc Medical Center | General Acute Care Hospital | 1240 N Mission Rd Rm 2l33, Los Angeles, CA 90033-1019 | 2008-10-17 |
| 1639362981 | Womens and Childrens Hospital | General Acute Care Hospital | 1240 North Misison Rd, Room 5k-13, Los Angeles, CA 90033 | 2007-08-21 |
| 1750589297 | Antelope Valley Hospital | General Acute Care Hospital | 44155 15th St W, Lancaster, CA 93534-4079 | 2007-07-06 |
| 1275659914 | Susan Lin | General Acute Care Hospital | 448 N San Mateo Dr, San Mateo, CA 94401-2496 | 2007-03-22 |
| 1114454998 | Qui Tang | General Acute Care Hospital | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2017-05-11 |
| 1992259899 | Mary Hebert | General Acute Care Hospital | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2016-08-09 |
| 1114322328 | Mi Bella Birth | General Acute Care Hospital | 27840 Villa Canyon Rd, Castaic, CA 91384 | 2014-10-30 |
| Find all providers with the same taxonomy | ||||
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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.