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MS. JENNIFER MARIE MENDOZA
NPI 1093907156
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since August 13, 2007
1100 N D ST, SAN BERNARDINO, CA 92410(909) 884-0840 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2021, Jun 14, 2018 (2 updates tracked since 2018).

About Ms. Jennifer Marie Mendoza NPPES

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

MS. JENNIFER MARIE MENDOZA (NPI 1093907156) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (A022250616) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1093907156
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JENNIFER MARIE MENDOZA
Location Address1100 N D STSan Bernardino, CA 92410-3524
Mailing Address1100 N D StSan Bernardino, CA 92410-3524 · (909) 884-0840
Phone(909) 884-0840
Sole ProprietorNo
Enumeration DateAugust 13, 2007
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1093907156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A022250616
1100 N D ST, San Bernardino, CA 92410
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Other Providers at the Same Location NPPES 20

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

CHRISTOPHER DODD
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
JESSICA BAUTISTA DE MORA
Case Manager/Care Coordinator
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
VETERANS ALCOHOL REHABILITATION PROGRAM
Substance Abuse Rehabilitation Facility
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
KEITH STEPHENS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
RICHARD VELIS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
ADAM LAWRENCE BASTUBA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
FREDDY SANCHEZ NAVAR CATC NO. 228278 I
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
JAMES LINCOLN DETTMAN
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840

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 Jennifer Mendoza's NPI number?

The NPI number for Jennifer Mendoza is 1093907156. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Jennifer Mendoza located?

Jennifer Mendoza practices at 1100 N D St, San Bernardino, CA 92410. The listed phone number is (909) 884-0840.

What is Jennifer Mendoza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Mendoza was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.