DEYDA MENDOZA (NPI# 1760872451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760872451 |
| Entity Type | Individual |
| Full Name | DEYDA MENDOZA |
| Practice Address |
205 39th St Richmond CA 94805 |
| Mailing Address |
205 39th St Richmond CA 94805-2212 |
| Practice Telephone | 5104125930 |
| Mailing Telephone | 5104125930 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1313 Cutting Blvd, Richmond, CA 948042554 | 5102320874 |
| Street Address |
205 39TH ST |
| City | RICHMOND |
| State | CA |
| Zip Code | 94805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851339543 | Cris Stahl | Marriage & Family Therapist | 205 39th St, Richmond, CA 94805-2212 | 2006-06-03 |
| 1376157248 | Johana Carvajal Sanclemente | Counselor | 205 39th St, Richmond, CA 94805-2212 | 2020-09-08 |
| 1558974659 | Lena Krystyna Greenspan | Student in an Organized Health Care Education/Training Program | 205 39th St, Richmond, CA 94805-2212 | 2020-08-28 |
| 1053929356 | Karina Ramirez | Student in an Organized Health Care Education/Training Program | 205 39th St, Richmond, CA 94805-2212 | 2020-07-22 |
| 1932727989 | Karelin Arithzi Rivera-rosillo | Student in an Organized Health Care Education/Training Program | 205 39th St, Richmond, CA 94805-2212 | 2020-07-07 |
| 1124672878 | Diana Escamilla | Student in an Organized Health Care Education/Training Program | 205 39th St, Richmond, CA 94805-2212 | 2019-07-31 |
| 1003476342 | Stephanie Morales | Student in an Organized Health Care Education/Training Program | 205 39th St, Richmond, CA 94805-2212 | 2019-06-18 |
| 1962061333 | Angela Allan | Student in an Organized Health Care Education/Training Program | 205 39th St, Richmond, CA 94805-2212 | 2019-06-10 |
| 1023572542 | Ruth Ordenana | Student in an Organized Health Care Education/Training Program | 205 39th St, Richmond, CA 94805-2212 | 2019-01-29 |
| 1467934869 | Natalie Elizabeth Serrano | Student in an Organized Health Care Education/Training Program | 205 39th St, Richmond, CA 94805-2212 | 2018-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134622038 | Edward Trujano | Behavioral Analyst | 616 40th St, Richmond, CA 94805 | 2018-03-16 |
| 1568900439 | John Edward Tysell Jr. | Internal Medicine | 437 Carlston Street, Richmond, CA 94805 | 2017-02-10 |
| 1043661952 | Alejandra Cardenas | Counselor | 4101 Macdonald Avenue, Richmond, CA 94805 | 2016-06-22 |
| 1568582229 | Susan Denny | Marriage & Family Therapist | 207 37th Street, Richmond, CA 94805 | 2007-03-29 |
| 1548312689 | Wendy E Maron | Marriage & Family Therapist | 630 Humboldt St, Richmond, CA 94805 | 2007-01-17 |
| 1518015866 | Community Health for Asian Americans | Community/Behavioral Health | 207 37th St, Richmond, CA 94805 | 2007-01-05 |
| 1215496799 | Makenna Newton | Counselor | 303 41st St, Richmond, CA 94805 | 2019-03-14 |
| 1245664036 | Leonard Deguzman | Counselor | 207 37th St, Richmond, CA 94805 | 2013-08-28 |
| 1396178968 | Ilia Mirkin | Social Worker | 303 41st St, Richmond, CA 94805 | 2013-08-18 |
| 1730412131 | Paula Serrano Cardenas | Social Worker | 303 41st St, Richmond, CA 94805 | 2009-09-16 |
| Find all providers in zip 94805 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708666 | Candice Carriere | Student in an Organized Health Care Education/Training Program | 211 Terrace Creek Ct, Richmond, TX 77406-3590 | 2020-10-23 |
| 1548867500 | Daniel Bailey Jr. | Student in an Organized Health Care Education/Training Program | 6211 Gilchrist Ave, Richmond, VA 23231-4723 | 2020-10-02 |
| 1659987899 | Chinwe Nwakaego Dike | Student in an Organized Health Care Education/Training Program | 8023 Bueller Pass Ln, Richmond, TX 77407-1824 | 2020-09-22 |
| 1073127924 | Yuzuru Sambommatsu | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Transplant Surgery Fellowship, 980057, 1250 E. Marshall Street, Richmond, VA 23298-0057 | 2020-09-08 |
| 1639782949 | Vannarong Keo | Student in an Organized Health Care Education/Training Program | 805 Sam Christopher Ct, Richmond, KY 40475-3048 | 2020-08-26 |
| 1770100646 | Reva Jain | Student in an Organized Health Care Education/Training Program | 171 Reid Ln, Richmond, CA 94801-1711 | 2020-06-26 |
| 1477178077 | Robert Cole Schmidt | Student in an Organized Health Care Education/Training Program | Vcu Department of Orthopedics Residency, 980153, 1250 E Marshall St, Richmond, VA 23298-0153 | 2020-06-10 |
| 1144845900 | Alexandra Ernst | Student in an Organized Health Care Education/Training Program | 1250 E Marshal Street, Vcuhs Dept of Orth Residency 980153, Richmond, VA 23298-0153 | 2020-06-08 |
| 1346865136 | Virginia Hamilton Behlen Lucas | Student in an Organized Health Care Education/Training Program | 1201 Broad Rock Blvd Rm 1k, Richmond, VA 23249-0001 | 2020-06-08 |
| 1023632817 | Francis Jefferson Oser II | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surg, 980645, 1250 E Marshall, Richmond, VA 23298-0645 | 2020-06-08 |
| Find all providers in RICHMOND | ||||
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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.