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ELDER MENDOZA PA-C
NPI 1568659936
Physician Assistant - Medical in Montebello, CA

Active since October 01, 2007PECOS EnrolledAccepts Medicare Assignment
3114 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 726-1317(323) 726-3870 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elder Mendoza Pa-c NPPES

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

ELDER MENDOZA PA-C (NPI 1568659936) is an individual medical provider in Montebello, California, licensed in California (PA19362) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1568659936
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameELDER MENDOZACredential: PA-C
Location Address3114 W BEVERLY BLVDMontebello, CA 90640-2217
Mailing Address2149 E Warner Rd, Ste 102Tempe, AZ 85284-3495 · (480) 393-0309 · Fax (480) 610-6189
Phone(323) 726-1317
Fax(323) 726-3870
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 1, 2007
Last NPPES UpdateAugust 22, 2019
✔ NPI 1568659936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA19362
3114 W BEVERLY BLVD, Montebello, CA 90640
Open in Google Maps ↗

Other Identifiers 1

MedicaidPA19362CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elder Mendoza Pa-c 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 ID1951483924
PECOS Enrollment IDI20080129000829
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 14

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

PRADIP C.P. CHOWDHURY M.D.
Internal Medicine (Nephrology)
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 726-1317
MAYBEL MIN TAN M.D
Internal Medicine (Nephrology)
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 726-3868
L A COUNTY NEPHROLOGY ASSOCIATES A MEDICAL CORPORATION
Specialist
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 726-1317
DR. SHAMIK BHADRA MD
Specialist
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 726-3868
SHAHE PASHAYAN MD
Internal Medicine
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 726-3868
PATRICIA M ALVARADO M.D.
Internal Medicine (Nephrology)
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 726-3868
ELISA PARK
Internal Medicine
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 726-3868
DR. LATHIKA RAAKESH MD
Internal Medicine (Nephrology)
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 726-3868

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 Elder Mendoza's NPI number?

The NPI number for Elder Mendoza is 1568659936. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Elder Mendoza located?

Elder Mendoza practices at 3114 W Beverly Blvd, Montebello, CA 90640. The listed phone number is (323) 726-1317.

What is Elder Mendoza's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elder Mendoza enrolled in Medicare?

Yes. Elder Mendoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elder Mendoza was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.