MARINA MARIE MENDONCA


Address: 650 S. Bascom Ave, San Jose, CA 95128
Phone: (408) 283-8555

MARINA MARIE MENDONCA (NPI# 1760907273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760907273
Entity Type Individual
Full Name MARINA MARIE MENDONCA
Practice Address 650 S. Bascom Ave
San Jose
CA 95128
Mailing Address 650 S Bascom Ave
San Jose
CA 95128-2601
Practice Telephone (408) 283-8555
Mailing Telephone 4082838555
Enumeration Date 2017-08-04
Last Update Date 2017-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 650 S. BASCOM AVE
City SAN JOSE
State CA
Zip Code 95128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
Find all providers in zip 95128

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104451194 Arthur Warren Hall Counselor 298 A Bernal Road, San Jose, CA 95119 2020-03-10
1609412469 Cathy Logie Counselor 2682 Coit Dr, San Jose, CA 95124-1611 2019-11-26
1831692722 Nicholas Jordon Thompson Counselor 2218 North First Street, San Jose, CA 95131 2018-03-16
1376045591 Michael Li Counselor 2202 N 1st St, San Jose, CA 95131-2007 2018-03-03
1104338805 Sydney Louise Tai Counselor 1370 Tully Rd Ste 301, San Jose, CA 95122-3056 2017-11-02
1932624871 Linh Tuyet Vong Counselor 760 Pelleas Ln, San Jose, CA 95127-1030 2017-08-12
1952825911 Robert Martin Thomas Counselor 950 Julian St, San Jose, CA 95122 2017-08-01
1386171221 Mia Yvone Jaurigue Counselor 151 W Mission St # A1, San Jose, CA 95110-1713 2017-05-22
1396296307 Andres Lujan Jr. Counselor 1867 Senter Rd, San Jose, CA 95112-2527 2016-10-14
1912376500 Kara Garren Counselor 3226 Kimber Ct, 105, San Jose, CA 95124-2380 2015-09-24
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95128

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Dataset Information

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.

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