MR. EDWARD LUSUNG MENDOZA (NPI# 1497388763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497388763 |
| Entity Type | Individual |
| Full Name | MR. EDWARD LUSUNG MENDOZA |
| Credential | LVN |
| Practice Address |
2101 Courage Dr Fairfield CA 94533-6717 |
| Practice Telephone | 7074281131 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN708998 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699813741 | Edward Martin Mendoza | Psychiatry & Neurology | 3556 Pebble Beach Dr, Augusta, GA 30907-9520 | 2007-02-01 |
| Street Address |
2101 COURAGE DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736732 | Sarah Jane Bolger | Nurse Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2005-11-03 |
| 1235754706 | Armina Roseanna Delacruz | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-06-10 |
| 1043834955 | Rodney Ralls | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-06-05 |
| 1740800531 | Cleveland Anthony Thibodeaux IIi | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-04-21 |
| 1477173672 | Lauren Elayna Lopez | Case Manager/Care Coordinator | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-04-17 |
| 1598397655 | Pamela Monterrosa | Student in an Organized Health Care Education/Training Program | 2101 Courage Dr, Fairfield, CA 94533 | 2020-02-06 |
| 1205476801 | Lemuel Francis Constantino | Registered Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-01-10 |
| 1285273490 | Simone Lenore Adkins | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-01-06 |
| 1376182857 | Sean Michael Maher | Registered Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2019-12-31 |
| 1093350530 | Jennifer Nicole Binion | Licensed Vocational Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228532 | Nichelle Banks | Licensed Vocational Nurse | 2212 Brighton Ct, Fairfield, CA 94533-1903 | 2020-05-29 |
| 1144869488 | Ashley Mari Lattier | Licensed Vocational Nurse | 2338 Bobwhite Ct, Fairfield, CA 94533-2433 | 2020-01-03 |
| 1376937169 | Sharen Nichelle Tomas | Licensed Vocational Nurse | 2389 Josiah Wing Dr, Fairfield, CA 94533-8974 | 2015-03-19 |
| 1659643963 | Dominique Nicole Brown | Licensed Vocational Nurse | 2243 Fairfield Ave, Fairfield, CA 94533-2017 | 2012-02-01 |
| 1881986016 | Melissa Gale Portillo | Licensed Vocational Nurse | 3531 Woodridge Blvd, 11, Fairfield, OH 45014-8545 | 2011-05-05 |
| 1205027141 | Lamonda D Dye | Licensed Vocational Nurse | 2095 Woodtrail Dr Apt K, Fairfield, OH 45014-8616 | 2007-08-06 |
| 1144357302 | Contra Costa Health Services | Licensed Vocational Nurse | 2132 Ellington Pl, Fairfield, CA 94533-2608 | 2007-02-27 |
| 1316561269 | Jaymar Binag | Licensed Vocational Nurse | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-06-05 |
| 1093350530 | Jennifer Nicole Binion | Licensed Vocational Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2019-11-07 |
| 1952945891 | Angel Calderon | Licensed Vocational Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2019-11-04 |
| Find all providers in FAIRFIELD | ||||
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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.