MR. ENRIQUE MENDOZA (NPI# 1710121520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710121520 |
| Entity Type | Individual |
| Full Name | MR. ENRIQUE MENDOZA |
| Credential | DPT |
| Practice Address |
2204 S El Camino Real Suite 102 Oceanside CA 92054-6306 |
| Mailing Address |
3905 Waring Rd Oceanside CA 92056-4405 |
| Practice Telephone | 7604773150 |
| Practice Fax Number | 7607546785 |
| Mailing Telephone | 7607249000 |
| Mailing Fax Number | 7607243686 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
35503 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CI933Z | 01 |
| CA | CALIFORNIA LICENSE NUMBER | 35503 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609056514 | Enrique Mendoza | Licensed Vocational Nurse | 7590 Frazer Dr, Riverside, CA 92509-5332 | 2007-11-08 |
| 1659487999 | Enrique Flores Mendoza | Radiology | 305 S State St, Aberdeen, SD 57401 | 2006-08-21 |
| Street Address |
2204 S EL CAMINO REAL SUITE 102 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174583108 | Warren R Womack | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2006-03-24 |
| 1659797231 | Tri City Orthopaedic Surgery Medical Group Inc | Physical Therapist | 2204 S El Camino Real, Ste 102, Oceanside, CA 92054-6306 | 2014-03-06 |
| 1225377187 | Jennifer Ann Wilson | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2013-02-12 |
| 1013231513 | Kathleen S Ramseyer | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2010-03-26 |
| 1093044711 | Jennifer Ann Pennington | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2009-12-08 |
| 1740407899 | Tanya L Langis | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2007-04-19 |
| 1447344007 | Victor J. Tomassetti | Chiropractor | 2204 S El Camino Real, Oceanside, CA 92054-6306 | 2006-10-03 |
| 1235196767 | Kimberly J Reichert | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396843587 | Joshua M Telsey | Physical Therapist | 3772 Mission Ave, Suite 120, Oceanside, CA 92058-1453 | 2006-09-20 |
| 1174577217 | Melinda Lee Stoski | Physical Therapist | 2421 Long Beach Rd, Suite 202, Oceanside, NY 11572-1361 | 2006-05-22 |
| 1174583108 | Warren R Womack | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2006-03-24 |
| 1871123174 | Stephen Castro | Physical Therapist | 3861 Mission Ave Ste B25, Oceanside, CA 92058-1817 | 2020-01-25 |
| 1659915015 | Spinezone Medical Fitness, Inc. | Physical Therapist | 1828 Oceanside Blvd, Oceanside, CA 92054-3452 | 2019-10-29 |
| 1285109231 | Cheyenne Summer Smith | Physical Therapist | 3633 Vista Way, Oceanside, CA 92056-4568 | 2018-10-05 |
| 1942679386 | Edward Riley | Physical Therapist | 200 Mercy Circle, Oceanside, CA 92058 | 2015-09-16 |
| 1740660208 | Margaret Posner | Physical Therapist | 3941 Bea Ct, Oceanside, NY 11572-5907 | 2015-05-31 |
| 1194142349 | Ryan William Harper | Physical Therapist | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2014-03-26 |
| 1225377187 | Jennifer Ann Wilson | Physical Therapist | 2204 S El Camino Real, Suite 102, Oceanside, CA 92054-6306 | 2013-02-12 |
| Find all providers in OCEANSIDE | ||||
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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.