NIDIA CAROLINA MENDEZ QUEZADA MD
NPI 1275195216
Pediatrics in Los Angeles, CA
About Nidia Carolina Mendez Quezada Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIDIA CAROLINA MENDEZ QUEZADA MD (NPI 1275195216) is an individual pediatrics provider in Los Angeles, California, licensed in California (A180858) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nidia Carolina Mendez Quezada Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nidia Mendez Quezada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90037
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: St. John's Community Health
- 404 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 90037 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.
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 Nidia Mendez Quezada's NPI number?
The NPI number for Nidia Mendez Quezada is 1275195216. It was assigned to this individual provider in the NPPES registry on June 30, 2019.
Where is Nidia Mendez Quezada located?
Nidia Mendez Quezada practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 541-1600.
What is Nidia Mendez Quezada's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Nidia Mendez Quezada enrolled in Medicare?
Yes. Nidia Mendez Quezada is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nidia Mendez Quezada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nidia Mendez Quezada reassigns Medicare benefits to St. Johns Community Health (Los Angeles, CA). The 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 Nidia Mendez Quezada'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 Nidia Mendez Quezada was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nidia Carolina Mendez Quezada, MD · NPI 1275195216
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 30, 2019.
## Identity
- **NPI:** 1275195216 (Entity type: Individual)
- **Enumerated:** June 30, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A180858 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 808 W 58TH ST, Los Angeles, CA 90037-3632
- **Phone:** (323) 541-1600
## 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:** St. Johns Community Health (NPI 1073363768, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1275195216) · Data from the CMS NPPES public registry.