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SUSANA MARIBEL MENDOZA M.D.
NPI 1255463592
Internal Medicine - Nephrology in Los Angeles, CA

Active since March 12, 2007PECOS Enrolled
4700 W SUNSET BLVD, 2ND FLOOR, NEPHROLOGY DEPARTMENT, LOS ANGELES, CA 90027(323) 783-5987 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susana Maribel Mendoza M.d. NPPES

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

SUSANA MARIBEL MENDOZA M.D. (NPI 1255463592) is an individual nephrology provider in Los Angeles, California, licensed in California (A87787) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255463592
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSUSANA MARIBEL MENDOZACredential: M.D.
Location Address4700 W SUNSET BLVD, 2ND FLOOR, NEPHROLOGY DEPARTMENTLos Angeles, CA 90027-6082
Mailing Address8920 Murietta AvePanorama City, CA 91402-2628 · (310) 903-1364
Phone(323) 783-5987
Sole ProprietorNo
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255463592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A87787
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4700 W SUNSET BLVD, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susana Maribel Mendoza M.d. 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 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

DR. SCOTT HIDEYUKI TAKAHASHI PHARMD
Pharmacist
4700 W SUNSET BLVD, DEPARTMENT OF PEDIATRICS
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1911
VALERIE CAPIZZO FREYRE
Social Worker (Clinical)
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-2600
DR. STEVEN T KIM DO
Pediatrics (Pediatric Gastroenterology)
4700 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4976
POLLIE WILLHITE CRNA
Nurse Anesthetist, Certified Registered
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-5984
MS. CARLA DE OLIVEIRA R.D.
Dietitian, Registered
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-5683
JASON CHEN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (909) 596-6168
PAUL HAN M.D.
Pediatrics
4700 W SUNSET BLVD, KAISER FOUNDATION HOSPITAL, DEPARTMENT OF PEDIATRICS
LOS ANGELES, CA 90027
Los Angeles County (650) 504-3591
DR. BONNIE TAM M.D.
Pediatrics
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (800) 954-8000

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 Susana Mendoza's NPI number?

The NPI number for Susana Mendoza is 1255463592. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Susana Mendoza located?

Susana Mendoza practices at 4700 W Sunset Blvd 2nd Floor, Nephrology Department, Los Angeles, CA 90027. The listed phone number is (323) 783-5987.

What is Susana Mendoza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Susana Mendoza enrolled in Medicare?

Yes. Susana Mendoza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susana Mendoza was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.