MR. ISMAEL MENDOZA (NPI# 1619342508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619342508 |
| Entity Type | Individual |
| Full Name | MR. ISMAEL MENDOZA |
| Practice Address |
44199 Monroe St Ste C Indio CA 92201-3094 |
| Mailing Address |
85565 Vineta Ln Coachella CA 92236-2620 |
| Practice Telephone | 7608632578 |
| Practice Fax Number | 7608632569 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R101561214 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417925454 | Ismael M Mendoza | Physical Therapist | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2006-03-08 |
| Street Address |
44199 MONROE ST STE C |
| City | INDIO |
| State | CA |
| Zip Code | 92201-3094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447366752 | Anne Therese Chicoine | Social Worker | 44199 Monroe St Ste C, Indio, CA 92201-3094 | 2006-08-21 |
| 1558986554 | Yulissa Acosta | Counselor | 44199 Monroe St Ste C, Indio, CA 92201-3094 | 2020-06-15 |
| 1801436217 | Linda Orozco | Case Manager/Care Coordinator | 44199 Monroe St Ste C, Indio, CA 92201-3094 | 2020-01-14 |
| 1326689811 | Lorena Rodriguez Salcedo | Counselor | 44199 Monroe St Ste C, Indio, CA 92201-3094 | 2019-10-04 |
| 1649613654 | Jose Angel Gonzalez | Counselor | 44199 Monroe St Ste C, Indio, CA 92201-3094 | 2013-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811417025 | Johnny Joseph Courreges | Counselor | 44-359 Palm St, Indio, CA 92201-9220 | 2017-06-20 |
| 1164829586 | Fernando Quiroz | Counselor | 23912 Avenue 45, Suite 9, Indio, CA 92201-3338 | 2014-12-01 |
| 1811173792 | The Awareness Program | Counselor | 45550 Grace St, Indio, CA 92201-4610 | 2008-01-10 |
| 1679759567 | Guillermo Simo | Counselor | 45926 Oasis Street, Indio, CA 92201-4610 | 2008-01-10 |
| 1194916221 | Rachelle Lynn Wiedeman | Counselor | 83912 Avenue 45 Ste B, Indio, CA 92201-3338 | 2007-08-05 |
| 1134343742 | Fritz M Solis | Counselor | 44199 Monroe St, Indio, CA 92201-3094 | 2007-04-13 |
| 1265572630 | Pio B Dingle Jr. | Counselor | 83921 Avenue 45, Suite 9, Indio, CA 92201 | 2007-02-07 |
| 1356480040 | Socorro Sanchez | Counselor | 83912 Avenue 45 Ste 9, Indio, CA 92201-3338 | 2007-02-06 |
| 1376158238 | Teresa Torres Bastidas | Counselor | 43485 Hollyhock St, Indio, CA 92201-1976 | 2020-09-08 |
| 1023622198 | Dominick Cardillo | Counselor | 83844 Hopi Ave, Indio, CA 92203-2638 | 2020-09-04 |
| Find all providers in INDIO | ||||
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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.