YIMDRIUSKA MAGAN MENDOZA MD, MPH
NPI 1619529062
Family Medicine in Santa Rosa, CA

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 393-4000 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2023, Jul 15, 2019 (2 updates tracked since 2019).

About Yimdriuska Magan Mendoza Md, Mph NPPES

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

YIMDRIUSKA MAGAN MENDOZA MD, MPH (NPI 1619529062) is an individual family medicine provider in Santa Rosa, California, licensed in California (A-192460) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Davis School Of Medicine (2020).

NPPES Registry Identity

NPI1619529062
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameYIMDRIUSKA MAGAN MENDOZACredential: MD, MPH
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2020
Enumeration DateJuly 15, 2019
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
NPI 1619529062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A-192460
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.

401 BICENTENNIAL WAY, Santa Rosa, CA 95403

Secondary Practice Locations 2

Location 14610 X StSacramento, CA 95817-2200 · Phone (916) 816-1450
Location 21179 N McDowell BlvdPetaluma, CA 94954-6559 · Phone (707) 559-7500

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

Yimdriuska Magan Mendoza Md, Mph 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 ID1951847698
PECOS Enrollment IDI20240718001937
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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 20

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

Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

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 Yimdriuska Magan Mendoza's NPI number?

The NPI number for Yimdriuska Magan Mendoza is 1619529062. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Yimdriuska Magan Mendoza located?

Yimdriuska Magan Mendoza practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 393-4000.

What is Yimdriuska Magan Mendoza's specialty?

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

Is Yimdriuska Magan Mendoza enrolled in Medicare?

Yes. Yimdriuska Magan 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 Yimdriuska Magan Mendoza was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.