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MENDOZA MEDICAL CLINIC
NPI 1073839759
Pediatrics in Kenner, LA

Active since April 20, 2010CLIA 19D0919005 · Waiver
3100 WILLIAMS BLVD, KENNER, LA 70065(504) 443-1744 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mendoza Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDOZA MEDICAL CLINIC (NPI 1073839759), doing business as Roberto C Mendoza,m.d.apmc, is a healthcare organization registered as a pediatrics in Kenner, Louisiana and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Roberto Clemente Mendoza, Owner, as its authorized official.

NPPES Registry Identity

NPI1073839759
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMENDOZA MEDICAL CLINIC
Location Address3100 WILLIAMS BLVDKenner, LA 70065
Mailing Address3100 Williams BlvdKenner, LA 70065-4505 · (504) 443-1744 · Fax (504) 443-1752
Phone(504) 443-1744
Organization SubpartNo
Authorized OfficialRoberto Clemente MendozaOwner · (504) 443-1744
Enumeration DateApril 20, 2010
Last NPPES UpdateSeptember 22, 2011
✔ NPI 1073839759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
3100 WILLIAMS BLVD, Kenner, LA 70065
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Other Names 1

Former Legal Business NameRoberto C Mendoza,m.d.apmc

Other Identifiers 2

Medicaid2118099LA
Medicaid1191272LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0919005

Mendoza Medical · Kenner, LA
Active · expires Aug 25, 2026
CLIA Number19D0919005
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorTasneim Suleman
Laboratory Phone(504) 443-1744
Laboratory LocationMendoza Medical3100 Williams Boulevard, Kenner, LA 70065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRIZIA ROBLEDO N.P.
Nurse Practitioner (Family)
3100 WILLIAMS BLVD
KENNER, LA 70065
Jefferson Parish (504) 443-1744
KERRI L PERRY FNP-C, APRN
Nurse Practitioner (Family)
3100 WILLIAMS BLVD
KENNER, LA 70065
Jefferson Parish (504) 443-1744
DR. VENNUS JENNIFER BALLEN M.D.
Pediatrics
3100 WILLIAMS BLVD
KENNER, LA 70065
Jefferson Parish (504) 443-1744
CAITLIN AUCOIN
Nurse Practitioner (Family)
3100 WILLIAMS BLVD
KENNER, LA 70065
Jefferson Parish (504) 443-1744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mendoza Medical Clinic's NPI number?

The NPI number for Mendoza Medical Clinic is 1073839759. It was assigned to this organization in the NPPES registry on April 20, 2010. The provider was formerly known as Roberto C Mendoza,m.D.Apmc.

Where is Mendoza Medical Clinic located?

Mendoza Medical Clinic is located at 3100 Williams Blvd, Kenner, LA 70065. The listed phone number is (504) 443-1744.

What is Mendoza Medical Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Mendoza Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0919005) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mendoza Medical Clinic accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Mendoza Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mendoza Medical Clinic was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.