MS. AMADA BAUTISTA MENDOZA CNP NPI 1013059062

NPI Information

  • NPI: 1013059062
  • Provider Name: MS. AMADA BAUTISTA MENDOZA, CNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D2081478
  • Address: 16323 CLARK AVE
    BELLFLOWER, CA
    ZIP 90706
  • Phone: (562) 925-7716

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NPI Details

MS. Amada Bautista Mendoza, CNP is a women's health nurse practitioner in Bellflower, CA. MS. Amada Bautista Mendoza, CNP NPI is 1013059062. 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:

16323 CLARK AVE
BELLFLOWER, CA
ZIP 90706-209
Phone: (562) 925-7716
Fax: (562) 867-0665

The NPI 1013059062 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 CLIA number assigned to this NPI record is 05D2081478 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/8/2014.

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
1363LW0102XNurse PractitionerWomen's Health329964CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1329964OTHERCALIFORNIARN LICENSE
28037OTHERCALIFORNIANPF LICENSE

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: 3/30/2025

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