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TRACY KIM MENDOZA
NPI 1255877437
Licensed Psychiatric Technician in Los Angeles, CA

Active since January 12, 2017
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(310) 221-6336 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, Jan 12, 2017 (2 updates tracked since 2017).

About Tracy Kim Mendoza NPPES

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

TRACY KIM MENDOZA (NPI 1255877437) is an individual licensed psychiatric technician in Los Angeles, California, licensed in California (PT34003) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1255877437
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameTRACY KIM MENDOZA
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address12021 Wilmington AveLos Angeles, CA 90059-3019 · (310) 221-6336
Phone(310) 221-6336
Sole ProprietorNo
Enumeration DateJanuary 12, 2017
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1255877437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · PT34003
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
12021 WILMINGTON AVE, Los Angeles, CA 90059
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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.

DR. MARC D LEVY MD
Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4536
TINA M ROBINSON PA
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
PEGGY ANNA DANIELS CADCII
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (818) 996-1051
BRANDON DORFMAN
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Los Angeles County (626) 425-1305
DR. KEITH NORRIS MD
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
MS. ZAHRA YAZDANI PA-C
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
DR. LATANIA SCI M.D.
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (702) 326-8726
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4501

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 Tracy Mendoza's NPI number?

The NPI number for Tracy Mendoza is 1255877437. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Tracy Mendoza located?

Tracy Mendoza practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 221-6336.

What is Tracy Mendoza's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Tracy Mendoza was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.