Sophia Mendoza, is a
Community Health Worker based in Stockton, California. Sophia Mendoza is licensed to practice in * (Not Available) (license number ) and her current practice location is
2495 W March Ln Ste 125, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 465-1080.
NPI number for Sophia Mendoza is 1821776519 and her current mailing address is 2495 W March Ln Ste 125, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821776519.
Healthcare Provider's Profile
| Full Name | Sophia Mendoza |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2495 W March Ln Ste 125, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821776519
- Provider Enumeration Date: 07/11/2023
- Last Update Date: 01/18/2024
Medical Identifiers
Medical identifiers for Sophia Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821776519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sophia Mendoza,
2495 W March Ln Ste 125,
Stockton, CA 95207-8224
Ph: () - | Sophia Mendoza,
2495 W March Ln Ste 125,
Stockton, CA 95207-8224
Ph: (209) 465-1080 |
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