Chris Mendoza, is a
Student In An Organized Health Care Education/training Program based in San Rafael, California. Chris Mendoza is licensed to practice in * (Not Available) (license number ) and his current practice location is
1330 Lincoln Ave Ste 201, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at
(415) 459-5999.
NPI number for Chris Mendoza is 1780322636 and his current mailing address is 1321 Eucalyptus Dr, Vallejo, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780322636.
Healthcare Provider's Profile
| Full Name | Chris Mendoza |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1330 Lincoln Ave Ste 201, San Rafael, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780322636
- Provider Enumeration Date: 05/20/2022
- Last Update Date: 05/20/2022
Medical Identifiers
Medical identifiers for Chris Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780322636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Chris 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 |
|---|
Chris Mendoza,
1321 Eucalyptus Dr,
Vallejo, CA 94591-8363
Ph: (707) 246-7800 | Chris Mendoza,
1330 Lincoln Ave Ste 201,
San Rafael, CA 94901-2142
Ph: (415) 459-5999 |
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