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DR. FORTUNATA L. MENDOZA M.D.
NPI 1568499317
Specialist in Diamond Bar, CA

Active since June 27, 2006PECOS Enrolled
1111 GRAND AVE, STE. K, DIAMOND BAR, CA 91765(909) 860-4254(909) 860-2674 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Fortunata L. Mendoza M.d. NPPES

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

DR. FORTUNATA L. MENDOZA M.D. (NPI 1568499317) is an individual specialist in Diamond Bar, California, licensed in California (C41510) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568499317
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. FORTUNATA L. MENDOZACredential: M.D.
Location Address1111 GRAND AVE, STE. KDiamond Bar, CA 91765-4171
Mailing Address1111 Grand Ave, Ste. KDiamond Bar, CA 91765-4171 · (909) 860-4254 · Fax (909) 860-2674
Phone(909) 860-4254
Fax(909) 860-2674
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568499317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · C41510
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1111 GRAND AVE, Diamond Bar, CA 91765
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Other Identifiers 1

Medicare UPINC41510CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fortunata L. Mendoza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 13

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

JAYANT I. BHATT, DDS
Dentist
1111 GRAND AVE, SUITE I
DIAMOND BAR, CA 91765
Los Angeles County (909) 861-2811
WAYNE HAMILTON MARTIN M.D.
Ophthalmology
1111 GRAND AVE, SUITE A
DIAMOND BAR, CA 91765
Los Angeles County (909) 860-6768
TERRY WESLEY SCOTT M.D.
Otolaryngology
1111 GRAND AVE, # E
DIAMOND BAR, CA 91765
Los Angeles County (909) 860-7712
JAY I. BHATT DDS
Dentist
1111 GRAND AVE, SUITE G
DIAMOND BAR, CA 91765
Los Angeles County (909) 396-7474
SAMIR BATNIJI DDS
Dentist (Endodontics)
1111 GRAND AVE, SUITE D
DIAMOND BAR, CA 91765
Los Angeles County (909) 396-9944
MR. YUNG-TING LI MSAOM
Acupuncturist
1111 GRAND AVE
DIAMOND BAR, CA 91765
Los Angeles County (626) 400-8653
DR. JOSE MANUEL ESTEVEZ D.D.S.
Dentist (General Practice)
1111 GRAND AVE, SUITE G
DIAMOND BAR, CA 91765
Los Angeles County (909) 396-7474
DIAMOND BAR DERMATOLOGY AND LASER CENTER
Dermatology
1111 GRAND AVE, SUITE K
DIAMOND BAR, CA 91765
Los Angeles County (909) 860-4254

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 Fortunata Mendoza's NPI number?

The NPI number for Fortunata Mendoza is 1568499317. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Fortunata Mendoza located?

Fortunata Mendoza practices at 1111 Grand Ave Ste. K, Diamond Bar, CA 91765. The listed phone number is (909) 860-4254.

What is Fortunata Mendoza's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Fortunata Mendoza enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Fortunata 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.