STANLEY ATRAN MENDOZA M.D. NPI 1861563629

NPI Information

NPI: 1861563629
Provider Name: STANLEY ATRAN MENDOZA, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
8110 BIRMINGHAM WAY
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-8052
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Stanley Atran Mendoza, M.D. is a pediatrics in San Diego, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Stanley Atran Mendoza, M.D. NPI is 1861563629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8110 BIRMINGHAM WAY
SAN DIEGO, CA
ZIP 92123-758
Phone: (858) 966-8052

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/8/2007.

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	208000000X	Pediatrics		C33479	CALIFORNIA	Yes
2	2080P0210X	Pediatrics	Pediatric Nephrology	C33479	CALIFORNIA	X

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
1	WC33479B	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	A87655	MEDICARE UPIN	CALIFORNIA
3	00C334790	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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