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JOSE MENDOZA
NPI 1164779153
Peer Specialist in Canoga Park, CA

Active since August 08, 2012
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303(747) 292-3136 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2026, Feb 2, 2026, May 6, 2025 and 1 more (4 updates tracked since 2023).

About Jose Mendoza NPPES

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

JOSE MENDOZA (NPI 1164779153) is an individual peer specialist in Canoga Park, California, licensed in California (MPSS-DAQXNF) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1164779153
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOSE MENDOZA
Location Address6800 OWENSMOUTH AVE STE 160Canoga Park, CA 91303-4255
Mailing Address655 Maple AveLos Angeles, CA 90014-2211 · (747) 292-3136
Phone(747) 292-3136
Sole ProprietorNo
Enumeration DateAugust 8, 2012
Last NPPES UpdateApril 15, 20264 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1164779153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-DAQXNF
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
6800 OWENSMOUTH AVE STE 160, Canoga Park, CA 91303
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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.

VERONICA IRENE DALE R.N., N.P., C.N.S.
Nurse Practitioner (Psychiatric/Mental Health)
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6700
MRS. INES CARRILLO
Rehabilitation Practitioner
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6700
DERRICK ESTIFANOS
Rehabilitation Practitioner
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 647-2653
MARY KEESEY
Case Manager/Care Coordinator
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6726
SALVADOR SIERRA
Rehabilitation Practitioner
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6700
CINDY HERRERA
Day Training/Habilitation Specialist
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (213) 349-7947
DANIELA ESCOBEDO
Day Training/Habilitation Specialist
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 408-9177
DEAN VITELLI
Day Training/Habilitation Specialist
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (213) 444-8182

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 Jose Mendoza's NPI number?

The NPI number for Jose Mendoza is 1164779153. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Jose Mendoza located?

Jose Mendoza practices at 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303. The listed phone number is (747) 292-3136.

What is Jose Mendoza's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jose Mendoza was last updated on April 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.