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SHANNON MENDOZA
NPI 1609737782
Recreation Therapist in Upland, CA

Active since November 19, 2025
1317 W FOOTHILL BLVD STE 1330, UPLAND, CA 91786(800) 741-1164 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Mendoza NPPES

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

SHANNON MENDOZA (NPI 1609737782) is an individual recreation therapist in Upland, California, licensed in California (69194) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1609737782
Entity TypeIndividual
Primary Taxonomy225800000X
Provider Legal NameSHANNON MENDOZA
Location Address1317 W FOOTHILL BLVD STE 1330Upland, CA 91786-3676
Mailing Address1317 W Foothill Blvd Ste 1330Upland, CA 91786-3676 · (800) 741-1164
Phone(800) 741-1164
Sole ProprietorNo
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1609737782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in CA · 69194
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1317 W FOOTHILL BLVD STE 1330, Upland, CA 91786
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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 Shannon Mendoza's NPI number?

The NPI number for Shannon Mendoza is 1609737782. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Shannon Mendoza located?

Shannon Mendoza practices at 1317 W Foothill Blvd Ste 1330, Upland, CA 91786. The listed phone number is (800) 741-1164.

What is Shannon Mendoza's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Shannon Mendoza was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.