SUSAN MENDOZA
NPI 1124426127
Nurse Practitioner - Primary Care in Alhambra, CA
About Susan Mendoza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN MENDOZA (NPI 1124426127) is an individual primary care provider in Alhambra, California, licensed in California (F0814018) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Mendoza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alhambra, CA 91801
- Reassigned Medicare billing, California enrollment
- 12 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALHAMBRA, CA 91801
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 Susan Mendoza's NPI number?
The NPI number for Susan Mendoza is 1124426127. It was assigned to this individual provider in the NPPES registry on December 8, 2014. The provider is also known as Susan Asinas Mendoza Np.
Where is Susan Mendoza located?
Susan Mendoza practices at 330 S Garfield Ave Ste 268, Alhambra, CA 91801. The listed phone number is (626) 281-3265.
What is Susan Mendoza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Susan Mendoza enrolled in Medicare?
Yes. Susan Mendoza is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mendoza reassigns Medicare benefits to Ngo Phan MD Inc (Alhambra, CA). The 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 Susan 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 Susan Mendoza was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Susan Mendoza · NPI 1124426127
Primary Care physician in Alhambra, California. Individual provider, active in the CMS NPPES registry since December 8, 2014.
## Identity
- **NPI:** 1124426127 (Entity type: Individual)
- **Enumerated:** December 8, 2014
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** F0814018 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 S GARFIELD AVE, STE 268, Alhambra, CA 91801-3892
- **Phone:** (626) 281-3265 · **Fax:** (626) 300-0056
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ngo Phan MD Inc (NPI 1952663114, Alhambra, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1124426127) · Data from the CMS NPPES public registry.