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JUAN MENDOZA
NPI 1457820193
Social Worker in Las Vegas, NV

Active since November 23, 2018PECOS Enrolled
222 S RAINBOW BLVD STE 107, LAS VEGAS, NV 89145(702) 912-5404 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2026, Jan 9, 2021, Nov 23, 2018 (3 updates tracked since 2018).

About Juan Mendoza NPPES

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

JUAN MENDOZA (NPI 1457820193) is an individual social worker in Las Vegas, Nevada and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457820193
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJUAN MENDOZA
Location Address222 S RAINBOW BLVD STE 107Las Vegas, NV 89145-5343
Mailing Address222 S Rainbow Blvd Ste 107Las Vegas, NV 89145-5343 · (702) 912-5404
Phone(702) 912-5404
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 23, 2018
Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1457820193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
222 S RAINBOW BLVD STE 107, Las Vegas, NV 89145
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Mendoza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648743013
PECOS Enrollment IDI20260626001143
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.

Medicare Billing Reassignment

Medicare enrollment records show Juan Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Victory Alliance LLC
Same address
Clinical
222 S RAINBOW BLVD STE 107
Las Vegas, NV 89145
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group
NPI 1790158475 (702) 912-5404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

RACHEL BORDERS
Rehabilitation Practitioner
222 S RAINBOW BLVD STE 107
LAS VEGAS, NV 89145
Clark County (702) 912-5404
QUEENIECE EDWARDS
Rehabilitation Practitioner
222 S RAINBOW BLVD STE 107
LAS VEGAS, NV 89145
Clark County (702) 912-5404
ALEXANDRA RENEE LAPLANTE LCSW
Social Worker (Clinical)
222 S RAINBOW BLVD STE 107
LAS VEGAS, NV 89145
Clark County (702) 378-6092
JACOB WISDORF LMSW
Social Worker
222 S RAINBOW BLVD STE 107
LAS VEGAS, NV 89145
Clark County (702) 912-5404
W.A.S. THERAPY AND WELLNESS
Clinic/Center (Mental Health (Including Community Mental Health Center))
222 S RAINBOW BLVD STE 107
LAS VEGAS, NV 89145
Clark County (702) 787-0166
CHRISTIAN MICHAEL LOPEZ BS
Marriage & Family Therapist
222 S RAINBOW BLVD STE 107
LAS VEGAS, NV 89145
Clark County (702) 912-5404
VICTORY ALLIANCE LLC
Social Worker (Clinical)
222 S RAINBOW BLVD STE 107
LAS VEGAS, NV 89145
Clark County (702) 912-5404
MRS. ANGELA GAYLE NAKAMOTO
Rehabilitation Practitioner
222 S RAINBOW BLVD STE 107
LAS VEGAS, NV 89145
Clark County (702) 412-7494

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 Juan Mendoza's NPI number?

The NPI number for Juan Mendoza is 1457820193. It was assigned to this individual provider in the NPPES registry on November 23, 2018.

Where is Juan Mendoza located?

Juan Mendoza practices at 222 S Rainbow Blvd Ste 107, Las Vegas, NV 89145. The listed phone number is (702) 912-5404.

What is Juan Mendoza's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Juan Mendoza enrolled in Medicare?

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

Which organization bills Medicare for Juan Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Mendoza reassigns Medicare benefits to Victory Alliance LLC (Las Vegas, NV). 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 Juan Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Mendoza accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Juan Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan Mendoza was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.