PEDRO J MENDEZ ACSW
NPI 1669818613
Counselor - Mental Health in South Gate, CA
About Pedro J Mendez Acsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDRO J MENDEZ ACSW (NPI 1669818613) is an individual mental health provider in South Gate, California, licensed in California (63968) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pedro J Mendez Acsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pedro Mendez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90029
- Reassigned Medicare billing, California enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH GATE, CA 90280
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 Pedro Mendez's NPI number?
The NPI number for Pedro Mendez is 1669818613. It was assigned to this individual provider in the NPPES registry on May 17, 2013.
Where is Pedro Mendez located?
Pedro Mendez practices at 4390 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 567-0596.
What is Pedro Mendez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Pedro Mendez enrolled in Medicare?
Yes. Pedro Mendez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pedro Mendez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Mendez reassigns Medicare benefits to Silver Lake Psychology Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Mendez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pedro Mendez was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pedro J Mendez, ACSW · NPI 1669818613
Mental Health provider in South Gate, California. Individual provider, active in the CMS NPPES registry since May 17, 2013.
## Identity
- **NPI:** 1669818613 (Entity type: Individual)
- **Enumerated:** May 17, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 63968 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4390 TWEEDY BLVD, South Gate, CA 90280-6237
- **Phone:** (323) 567-0596
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Silver Lake Psychology Inc. (NPI 1932651817, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669818613) · Data from the CMS NPPES public registry.