MRS. BRENDA REYNA MENDEZ (NPI# 1477064756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477064756 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA REYNA MENDEZ |
| Other Name | MRS. BRENDA REYNA MENDEZ |
| Credential | 9489 - R |
| Practice Address |
2180 Johnson Ave San Luis Obispo CA 93401-4558 |
| Practice Telephone | 8054737080 |
| Practice Fax Number | 8054737188 |
| Mailing Telephone | 8054737080 |
| Mailing Fax Number | 8054737188 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
9489-R | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013305580 | Brenda Mendez | Student in an Organized Health Care Education/Training Program | #18 Carretera 2 Ave. Severiano Cuevas, Aguadilla, PR 00605 | 2015-01-06 |
| 1659488773 | Brenda Mercado Mendez | Pediatrics | Ave.roberto Clemente Bloque129#27 Villa Carolina, Carolina, PR 00984 | 2006-08-24 |
| 1164071007 | Brenda Mendez | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-04 |
| 1023587177 | Brenda Mendez | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2018-11-19 |
| 1306333729 | Brenda Mendez | Behavior Technician | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360-7796 | 2018-04-20 |
| 1851840219 | Brenda Mendez | Counselor | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2016-09-27 |
| Street Address |
2180 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366463879 | Robert D Henretig | Radiology | 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401-4513 | 2006-07-21 |
| 1043819352 | Douglas Gregory Elterman | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-10-19 |
| 1265045439 | Mai Timberlake | Student in an Organized Health Care Education/Training Program | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-27 |
| 1427669787 | Christie Terese Castro | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-11 |
| 1538792452 | Robyn Michelle Taylor | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-19 |
| 1003448754 | Jene Nicole Hinton-railsback | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-11 |
| 1962046359 | Emilie M Crist | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-29 |
| 1841833027 | Melanie Ruth Vann | Social Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-21 |
| 1548802622 | Christina Lynn Rivera | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-10 |
| 1265087035 | Amber Deem | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027005 | Alexann Calabash Masiko-meyer | Counselor | 1337 Descanso St, San Luis Obispo, CA 93405-4804 | 2020-03-09 |
| 1265824189 | Andrew Hook | Counselor | 277 South St Ste T, San Luis Obispo, CA 93401-5039 | 2015-03-02 |
| 1235521162 | Amy Allen | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2015-03-02 |
| 1982910402 | Dixie Lee Cavigli | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4513 | 2010-08-21 |
| 1851449144 | Theresa Mary Trew | Counselor | 1318 Johnson Ave, San Luis Obispo, CA 93401-3314 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982781 | Doris J Dweh | Counselor | 12642 Memorial Way Apt 3100, Moreno Valley, CA 92553-7591 | 2020-11-05 |
| 1184225260 | Suzette Vega | Counselor | 10018 Downey Sanford Bridge Rd, Downey, CA 90240-3556 | 2020-11-04 |
| 1548860497 | Roger A Thrush | Counselor | 7777 Alvarado Rd Ste 257, La Mesa, CA 91942-8318 | 2020-10-29 |
| 1891395026 | Hayley Nasrallah | Counselor | 11712 Moorpark St Ste 101, Studio City, CA 91604-2155 | 2020-10-27 |
| 1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
| 1659988822 | Katherine Beus Cusumano | Counselor | 11975 N Davis Rd, Lodi, CA 95242-9425 | 2020-09-30 |
| 1821605379 | Jacquelan Addesan King | Counselor | 124 5th St Apt A, Seal Beach, CA 90740-8000 | 2020-09-29 |
| 1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
| 1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
| 1619582558 | Vanessa Diaz Venegas | Counselor | 8554 Clarinda Ave, Pico Rivera, CA 90660-5701 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on MRS. BRENDA REYNA MENDEZ.
| 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.