EMMANUEL VARRETO MENDOZA MD
NPI 1487158994
Family Medicine in Rohnert Park, CA

Q: What is Emmanuel Mendoza's NPI number?

The NPI number for Emmanuel Mendoza is 1487158994. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Emmanuel Mendoza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Emmanuel Mendoza was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment

5900 STATE FARM DR FL 2, ROHNERT PARK, CA 94928(707) 559-7600 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Emmanuel Varreto Mendoza Md NPPES

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

EMMANUEL VARRETO MENDOZA MD (NPI 1487158994) is an individual family medicine provider in Rohnert Park, California, licensed in California (A164015) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2018).

NPPES Registry Identity

NPI1487158994

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameEMMANUEL VARRETO MENDOZACredential: MD

Location Address5900 STATE FARM DR FL 2Rohnert Park, CA 94928-2149

Mailing Address5900 State Farm Dr Fl 2Rohnert Park, CA 94928-2149

Phone(707) 559-7600

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2018

Enumeration DateMarch 20, 2018

Last NPPES UpdateAugust 31, 2021

NPPES CertifiedAugust 31, 2021

✔ NPI 1487158994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A164015

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5900 STATE FARM DR FL 2, Rohnert Park, CA 94928

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emmanuel Varreto Mendoza Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345647079

PECOS Enrollment IDI20240917001078

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 Emmanuel Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

29 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

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 94928 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

ALEXANNA CHRISTINE ALVARADO RN

Registered Nurse