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DR. VICTOR MANUEL MENDOZA-FERNANDEZ
NPI 1134220239
Family Medicine in Lakeside, CA

Active since September 25, 2006PECOS Enrolled
12517 LAKESHORE DR, LAKESIDE, CA 92040(619) 443-3843(619) 390-1810 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Victor Manuel Mendoza-fernandez NPPES

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

DR. VICTOR MANUEL MENDOZA-FERNANDEZ (NPI 1134220239) is an individual family medicine provider in Lakeside, California, licensed in California (C50178) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134220239
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VICTOR MANUEL MENDOZA-FERNANDEZ
Location Address12517 LAKESHORE DRLakeside, CA 92040-3103
Mailing Address12517 Lakeshore DrLakeside, CA 92040-3103 · (619) 443-3843 · Fax (619) 390-1810
Phone(619) 443-3843
Fax(619) 390-1810
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 3, 2014
✔ NPI 1134220239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C50178
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12517 LAKESHORE DR, Lakeside, CA 92040
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Other Identifiers 1

Medicare UPINF68320CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Victor Manuel Mendoza-fernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92040 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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 3

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

DR. LARRY J MARSHALL MD
Family Medicine
12517 LAKESHORE DR
LAKESIDE, CA 92040
San Diego County (619) 443-3843
JACOB THOMAS BOLZ PA-C
Physician Assistant
12517 LAKESHORE DR
LAKESIDE, CA 92040
San Diego County (619) 443-3843
LARRY J MARSHALL MD A PROFESSIONAL CORPORATION
General Practice
12517 LAKESHORE DR
LAKESIDE, CA 92040
San Diego County (619) 443-3843

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 Victor Mendoza-fernandez's NPI number?

The NPI number for Victor Mendoza-fernandez is 1134220239. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Victor Mendoza-fernandez located?

Victor Mendoza-fernandez practices at 12517 Lakeshore Dr, Lakeside, CA 92040. The listed phone number is (619) 443-3843.

What is Victor Mendoza-fernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Victor Mendoza-fernandez enrolled in Medicare?

Yes. Victor Mendoza-fernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victor Mendoza-fernandez was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.