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MAYRA E MENDOZA LCSW
NPI 1750094413
Social Worker in San Diego, CA

Active since December 27, 2022PECOS Enrolled
402 W BROADWAY STE 400, SAN DIEGO, CA 92101(866) 478-3978 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mayra E Mendoza Lcsw NPPES

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

MAYRA E MENDOZA LCSW (NPI 1750094413) is an individual social worker in San Diego, California, licensed in California (126746) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bakersfield.

NPPES Registry Identity

NPI1750094413
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMAYRA E MENDOZACredential: LCSW
Location Address402 W BROADWAY STE 400San Diego, CA 92101-3554
Mailing AddressPo Box 22192Bakersfield, CA 93390-2192 · (831) 710-0783
Phone(866) 478-3978
Sole ProprietorNo
Enumeration DateDecember 27, 2022
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1750094413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · 126746
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
402 W BROADWAY STE 400, San Diego, CA 92101
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Secondary Practice Location 1

Location 15501 Stockdale Hwy Unit 11032Bakersfield, CA 93389-7098 · Phone (661) 412-4291 · Fax (855) 794-0970

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra E Mendoza Lcsw 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mayra Mendoza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cyti Health PC
Same address
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978
County Of Kern
208 mi
Adult Mental Health
2300 S UNION AVE
Bakersfield, CA 93307
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group
NPI 1467653253 (661) 868-6175
Inner Beacon Therapy A Licensed Professional Clinical Counselor Co
212 mi
Mental Health
5501 STOCKDALE HWY UNIT 11032
Bakersfield, CA 93389
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1407596240 (661) 412-4291

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 20

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

AMANDA ELIZONDO-FESSLER
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978
KATHRYN CHRISTINE HERRERA LPCC
Counselor (Mental Health)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (760) 835-5563
MARY O'HERN MATULICH
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978
NABIL BAIG D.O.
Hospitalist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (559) 898-2244
MIRANDA RENEE LEON LCSW
Social Worker (Clinical)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978
MICHELLE C DEFLORIMONTE FNP
Nurse Practitioner (Family)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (407) 920-0785
AMAYA TUELLER MARRIAGE AND FAMILY THERAPIST INC.
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (619) 320-5776
CHANTAY CRAWFORD
Non-emergency Medical Transport (VAN)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (916) 941-5561

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 Mayra Mendoza's NPI number?

The NPI number for Mayra Mendoza is 1750094413. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Mayra Mendoza located?

Mayra Mendoza practices at 402 W Broadway Ste 400, San Diego, CA 92101. The listed phone number is (866) 478-3978.

What is Mayra Mendoza's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mayra Mendoza enrolled in Medicare?

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

Which organizations bill Medicare for Mayra Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Mendoza reassigns Medicare benefits to 3 organizations: Cyti Health PC (San Diego, CA), County Of Kern (Bakersfield, CA) and Inner Beacon Therapy A Licensed Professional Clinical Counselor Co (Bakersfield, CA). Each 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 Mayra Mendoza'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 Mayra Mendoza was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.