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ROSE MENDIOLA
NPI 1417324872
Substance Abuse Rehabilitation Facility in Vallejo, CA

Active since September 01, 2015
130 STANFORD DR, VALLEJO, CA 94589(707) 246-7971 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rose Mendiola NPPES

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

ROSE MENDIOLA (NPI 1417324872) is an individual substance abuse rehabilitation facility provider in Vallejo, California, licensed in California (R36801214) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1417324872
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameROSE MENDIOLA
Location Address130 STANFORD DRVallejo, CA 94589-1746
Mailing Address130 Stanford DrVallejo, CA 94589-1746 · (707) 246-7971
Phone(707) 246-7971
Sole ProprietorYes
Enumeration DateSeptember 1, 2015
✔ NPI 1417324872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · R36801214
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
130 STANFORD DR, Vallejo, CA 94589
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Other Identifiers 1

MedicaidC0600029CA

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 Rose Mendiola's NPI number?

The NPI number for Rose Mendiola is 1417324872. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Rose Mendiola located?

Rose Mendiola practices at 130 Stanford Dr, Vallejo, CA 94589. The listed phone number is (707) 246-7971.

What is Rose Mendiola's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Rose Mendiola was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.