SUSANA MARIBEL MENDOZA M.D.
NPI 1255463592
Internal Medicine - Nephrology in Los Angeles, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susana Maribel Mendoza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Susana Mendoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90038
- Reassigned Medicare billing, California enrollment
- 1,939 clinicians in this Medicare group
Sun Valley, CA 91352
- Reassigned Medicare billing, California enrollment
- 218 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 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.
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.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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.
Which organizations bill Medicare for Susana Mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susana Mendoza reassigns Medicare benefits to 2 organizations: County Of Los Angeles (Los Angeles, CA) and Northeast Valley Health Corporation (Sun Valley, CA). Each 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 Susana 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 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.
# Susana Maribel Mendoza, M.D. · NPI 1255463592
Nephrology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1255463592 (Entity type: Individual)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** A87787 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 W SUNSET BLVD, 2ND FLOOR, NEPHROLOGY DEPARTMENT, Los Angeles, CA 90027-6082
- **Phone:** (323) 783-5987
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Los Angeles (NPI 1083808836, Los Angeles, CA); Northeast Valley Health Corporation (NPI 1013199264, Sun Valley, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1255463592) · Data from the CMS NPPES public registry.