MENDRIX MEDICAL ASSOCIATES INC
NPI 1104657642
Psychiatry & Neurology - Psychiatry in Gardena, CA
About Mendrix Medical Associates Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENDRIX MEDICAL ASSOCIATES INC (NPI 1104657642) is a healthcare organization registered as a psychiatry in Gardena, California and active in the NPI registry since August 2024. The organization lists Kacey Callison, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mendrix Medical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Mendrix Medical Associates Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mendrix Medical Associates Inc's NPI number?
The NPI number for Mendrix Medical Associates Inc is 1104657642. It was assigned to this organization in the NPPES registry on August 7, 2024.
Where is Mendrix Medical Associates Inc located?
Mendrix Medical Associates Inc is located at 18726 S Western Ave Ste 320, Gardena, CA 90248. The listed phone number is (310) 773-8975.
What is Mendrix Medical Associates Inc's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Mendrix Medical Associates Inc enrolled in Medicare?
Yes. Mendrix Medical Associates Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mendrix Medical Associates Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Mendrix Medical Associates Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Clinical Psychologist (1) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mendrix Medical Associates Inc was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Mendrix Medical Associates Inc · NPI 1104657642
Psychiatry organization in Gardena, California. Organization record, active in the CMS NPPES registry since August 7, 2024.
## Identity
- **NPI:** 1104657642 (Entity type: Organization)
- **Enumerated:** August 7, 2024
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Kacey Callison, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 18726 S WESTERN AVE STE 320, Gardena, CA 90248-3812
- **Phone:** (310) 773-8975 · **Fax:** (702) 977-1496
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Psychologist (1), Internal Medicine (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104657642) · Data from the CMS NPPES public registry.