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BETHANY MENDOZA
NPI 1750946943
Social Worker - Clinical in Fullerton, CA

Active since May 03, 2019PECOS Enrolled
1407 N PLACENTIA AVE APT 128, FULLERTON, CA 92831(714) 822-9219 Get Directions Write a Review

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

Record update history: Mar 26, 2025, May 3, 2019 (2 updates tracked since 2019).

About Bethany Mendoza NPPES

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

BETHANY MENDOZA (NPI 1750946943) is an individual clinical provider in Fullerton, California, licensed in California (105914) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750946943
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETHANY MENDOZA
Location Address1407 N PLACENTIA AVE APT 128Fullerton, CA 92831-2569
Mailing Address1407 N Placentia Ave Apt 128Fullerton, CA 92831-2569 · (714) 822-9219
Phone(714) 822-9219
Sole ProprietorNo
Enumeration DateMay 3, 2019
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1750946943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 105914
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1407 N PLACENTIA AVE APT 128, Fullerton, CA 92831
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Mendoza 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 Reassignment

Medicare enrollment records show Bethany Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Menda Behavioral Health Services Of California, PC
371 mi
Psychologist
2354 POST ST STE D
San Francisco, CA 94115
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1962108779 (323) 776-3632

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92831 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
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bethany Mendoza's NPI number?

The NPI number for Bethany Mendoza is 1750946943. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Bethany Mendoza located?

Bethany Mendoza practices at 1407 N Placentia Ave Apt 128, Fullerton, CA 92831. The listed phone number is (714) 822-9219.

What is Bethany Mendoza's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Bethany Mendoza enrolled in Medicare?

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

Which organization bills Medicare for Bethany Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Mendoza reassigns Medicare benefits to Menda Behavioral Health Services Of California, PC (San Francisco, 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 Bethany 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 Bethany Mendoza was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.