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RUDY STEVEN MENDOZA DDS
NPI 1467558338
Dentist in Long Beach, CA

Active since September 16, 2006Opted out of Medicare · through May 9, 2028
392 REDONDO AVE, LONG BEACH, CA 90814(562) 438-0592(562) 433-6442 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rudy Steven Mendoza Dds NPPES

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

RUDY STEVEN MENDOZA DDS (NPI 1467558338) is an individual dentist in Long Beach, California, licensed in California (29171) and active in the NPI registry since September 2006. He has opted out of Medicare through May 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467558338
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRUDY STEVEN MENDOZACredential: DDS
Location Address392 REDONDO AVELong Beach, CA 90814
Mailing Address392 Redondo AveLong Beach, CA 90814 · (562) 438-0592 · Fax (562) 433-6442
Phone(562) 438-0592
Fax(562) 433-6442
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467558338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 29171
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
392 REDONDO AVE, Long Beach, CA 90814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Rudy Steven Mendoza Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2016 through May 9, 2028.

Opt-Out Effective DateMay 9, 2016
Opt-Out In Effect ThroughMay 9, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rudy Mendoza's NPI number?

The NPI number for Rudy Mendoza is 1467558338. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Rudy Mendoza located?

Rudy Mendoza practices at 392 Redondo Ave, Long Beach, CA 90814. The listed phone number is (562) 438-0592.

What is Rudy Mendoza's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Rudy Mendoza enrolled in Medicare?

No. Rudy Mendoza has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Rudy Mendoza accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Rudy 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 Rudy 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.