DR. GRETEL MARIE MENDOZA DNP NPI 1245652387

NPI Information

NPI: 1245652387
Provider Name: DR. GRETEL MARIE MENDOZA, DNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
27349 JEFFERSON AVE STE 111
TEMECULA, CA
ZIP 92590
Phone: (949) 201-8260
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DR. Gretel Marie Mendoza, DNP is a psychiatric/mental health nurse practitioner in Temecula, CA. DR. Gretel Marie Mendoza, DNP NPI is 1245652387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27349 JEFFERSON AVE STE 111
TEMECULA, CA
ZIP 92590-610
Phone: (949) 201-8260
Fax: (951) 221-5689

The NPI 1245652387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2014 and was last updated on 4/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	763562	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95002233	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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