HILDA IVONE MENDEZ (NPI# 1548877475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548877475 |
Entity Type | Individual |
Full Name | HILDA IVONE MENDEZ |
Practice Address |
1465 30th St Ste K San Diego CA 92154-3497 |
Practice Telephone | 6194281000 |
Practice Fax Number | 6194281091 |
Mailing Telephone | 6194281000 |
Mailing Fax Number | 6194281091 |
Enumeration Date | 2020-09-24 |
Last Update Date | 2020-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235125899 | Hilda M Mendez | Dentist | 576 Calle Cesar Gonzalez, Ste 307, San Juan, PR 00918-3756 | 2005-09-20 |
1376810374 | Hilda O. Mendez | Pharmacist | 18310 Pines Blvd, Pembroke Pines, FL 33029-1412 | 2011-11-19 |
Street Address |
1465 30TH ST STE K |
City | SAN DIEGO |
State | CA |
Zip Code | 92154-3497 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588730782 | Juan Francisco Camarena Jr. | Marriage & Family Therapist | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2006-11-28 |
1578162269 | Alina C Jamieson | Counselor | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2020-10-22 |
1518565068 | Mercedes I Mendoza Vazquez | Community Health Worker | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2020-10-15 |
1598363269 | Reynaldo Datu | Licensed Vocational Nurse | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2020-10-14 |
1063039543 | Julio Valenzuela | Counselor | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2020-06-30 |
1457978447 | Lisa Sophia Lin | Student in an Organized Health Care Education/Training Program | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2020-06-25 |
1215553466 | Cristina Mariana Ascencio | Student in an Organized Health Care Education/Training Program | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2020-06-24 |
1396366241 | Daneth Arabia Maldonado | Counselor | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2020-05-01 |
1285266577 | Briana Stephanie Ogazon | Peer Specialist | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2020-02-05 |
1255973509 | Jensine Dorothy Junus | Counselor | 1465 30th St Ste K, San Diego, CA 92154-3497 | 2019-10-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
Find all providers in zip 92154 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
1487298840 | Garrett Ives | Peer Specialist | 2909 Keats St Apt 7, San Diego, CA 92106-2345 | 2019-10-29 |
1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
1811434467 | Deborah Sue Lynn | Peer Specialist | 140 W. Arbor Dr., Ucsd Gifford Outpatient Clinic, San Diego, CA 92103-2421 | 2017-01-20 |
1023463163 | Miguel Pablo Surposa | Peer Specialist | 5711 Bolivar St, San Diego, CA 92139-1617 | 2016-04-26 |
1376140590 | Leon Samuel Mancilla | Peer Specialist | 5555 Reservoir Dr, San Diego, CA 92120-5134 | 2020-10-01 |
1982210092 | Nicole Lynn Iwan | Peer Specialist | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-09-23 |
1962014001 | Paulina Alvarado | Peer Specialist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-08-19 |
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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.