MRS. MARIATERESA MENDOZA SELF CMT LMT NPI 1659822831

NPI Information

NPI: 1659822831
Provider Name: MRS. MARIATERESA MENDOZA SELF, CMT, LMT
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3000 ARDEN WAY
SUITE 1-A
SACRAMENTO, CA
ZIP 95825
Phone: (916) 488-5560
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MRS. Mariateresa Mendoza Self, CMT, LMT is a student in an organized health care education training program in Sacramento, CA. The provider is 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. MRS. Mariateresa Mendoza Self, CMT, LMT NPI is 1659822831. 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:

3000 ARDEN WAY
SUITE 1-A
SACRAMENTO, CA
ZIP 95825-000
Phone: (916) 488-5560

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.

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	390200000X	Student in an Organized Health Care Education/Training Program		APIM-912071	CALIFORNIA	Yes

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
1	13848	MEDICAID	CALIFORNIA

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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