KRYSTAL MENDOZA (NPI# 1598166597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598166597 |
| Entity Type | Individual |
| Full Name | KRYSTAL MENDOZA |
| Practice Address |
2726 E Tyler St Long Beach CA 90810-1337 |
| Practice Telephone | 3107077756 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95015289 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2726 E TYLER ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90810-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| Find all providers in zip 90810 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061117 | Charisse Christie Magsaysay | Nurse Practitioner | 4508 Atlantic Ave Ste 468a, Long Beach, CA 90807-1520 | 2020-10-23 |
| 1780293886 | Christina Balladin | Nurse Practitioner | 37 E Hudson St, Long Beach, NY 11561-2106 | 2020-07-24 |
| 1598391518 | Samantha Lynne Band | Nurse Practitioner | 360 W Ocean Blvd Apt 406, Long Beach, CA 90802-4606 | 2020-03-21 |
| 1144854472 | Terezia Marie Tarantino | Nurse Practitioner | 542 E Market St, Long Beach, NY 11561-2421 | 2020-02-25 |
| 1619500196 | Mns Healthcare Solutions LLC | Nurse Practitioner | 3802 Hathaway Ave Apt 812, Long Beach, CA 90815-5117 | 2020-02-12 |
| 1588228738 | Jeannet D Ly | Nurse Practitioner | 2100 E Anaheim St Ste B, Long Beach, CA 90804-3419 | 2019-04-23 |
| 1730642166 | Justin Kimberland Jourdan | Nurse Practitioner | 523 Arbor Station Dr, Long Beach, MS 39560-5734 | 2019-04-11 |
| 1447711460 | Giselle Ann Rodriguez Zaragoza | Nurse Practitioner | 5920 Gardenia Ave, Long Beach, CA 90805-4210 | 2019-03-31 |
| 1427515998 | Saury Mamisay | Nurse Practitioner | 3145 Julian Ave, Long Beach, CA 90808-4436 | 2019-02-20 |
| 1932663630 | Agatha Chinyere Osuji | Nurse Practitioner | 3530 Atlantic Ave Ste 101, Long Beach, CA 90807-4569 | 2019-01-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90810 |
Please comment or provide details below to improve the information on KRYSTAL MENDOZA.
| 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.