MAYRA MENDOZA
NPI 1104469725
Nurse Anesthetist, Certified Registered in San Francisco, CA

Active since October 27, 2019Accepts Medicare Assignment
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143(559) 790-6930 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2023, Feb 13, 2020, Oct 27, 2019 (3 updates tracked since 2019).

About Mayra Mendoza NPPES

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

MAYRA MENDOZA (NPI 1104469725) is an individual nurse anesthetist, certified registered in San Francisco, California, licensed in California (95001263) and active in the NPI registry since October 2019. She maintains a secondary practice location in Travis Afb and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104469725
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMAYRA MENDOZA
Location Address505 PARNASSUS AVESan Francisco, CA 94143-2204
Mailing Address1840 Shaw Ave # 105-134Clovis, CA 93611-4078 · (559) 790-6930
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 27, 2019
Last NPPES UpdateMarch 20, 20233 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1104469725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95001263
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
505 PARNASSUS AVE, San Francisco, CA 94143

Secondary Practice Location 1

Location 1101 Bodin CirTravis AFB, CA 94535-1809 · Phone (707) 423-7611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mayra Mendoza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567899404
PECOS Enrollment IDI20200305000942

Medicare Billing Reassignments

9

Medicare enrollment records show Mayra Mendoza reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 723 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Anesthesiology
1100 SOUTH ELISCO DRIVE, SUITE 3
Greenbrae, CA 94904
  • Reassigned Medicare billing, California enrollment
  • 37 clinicians in this Medicare group
Anesthesiology
815 POLLARD RD
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 84 clinicians in this Medicare group
Anesthesiology
400 W MINERAL KING AVE
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
Specialist
450 N ROXBURY DRIVE, SUITE 240
Beverly Hills, CA 90210
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
Anesthesiology
23560 MADISON ST STE 109
Torrance, CA 90505
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for insertion of permanent heart pacemaker 00530
Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember the procedure.
16 services16 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
15 services15 patients
Anesthesia for other procedure on lower abdomen outside abdominal cavity 00860
Anesthesia for a procedure on the lower abdomen outside the abdominal cavity involves medication to numb the area or make you sleep, ensuring comfort and painlessness during the procedure. It is safe and commonly used in many medical procedures.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Neonatal)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Hospitalist
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine (Geriatric Medicine)
505 PARNASSUS AVE, 15 LONG
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Nurse Anesthetist, Certified Registered
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143

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 Mayra Mendoza's NPI number?

The NPI number for Mayra Mendoza is 1104469725. It was assigned to this individual provider in the NPPES registry on October 27, 2019.

Where is Mayra Mendoza located?

Mayra Mendoza practices at 505 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (559) 790-6930.

What is Mayra Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mayra Mendoza enrolled in Medicare?

Yes. Mayra Mendoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mayra Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Mendoza reassigns Medicare benefits to 9 organizations: University Anesthesia Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Permanente Medical Group Inc (San Francisco, CA), Amsurg Marin Anesthesia LP (Greenbrae, CA) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mayra Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mayra Mendoza was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.