DR. ANDREW MENDONSA PSY.D., MBA
NPI 1760530117
Psychologist - Clinical in Sacramento, CA
About Dr. Andrew Mendonsa Psy.d., Mba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW MENDONSA PSY.D., MBA (NPI 1760530117) is an individual clinical provider in Sacramento, California, licensed in California (PSY23208) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andrew Mendonsa Psy.d., Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Andrew Mendonsa reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Santa Clarita, CA 91351
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
Los Angeles, CA 90045
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Total Life Ca PC
- 47 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Arizona, Colorado, District of Columbia, Hawaii, Idaho and Michigan enrollments
- 532 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95826 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95826
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 Andrew Mendonsa's NPI number?
The NPI number for Andrew Mendonsa is 1760530117. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Andrew Mendonsa located?
Andrew Mendonsa practices at 9261 Folsom Blvd Ste 300, Sacramento, CA 95826. The listed phone number is (916) 476-5152.
What is Andrew Mendonsa's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Andrew Mendonsa enrolled in Medicare?
Yes. Andrew Mendonsa is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrew Mendonsa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Mendonsa reassigns Medicare benefits to 5 organizations: Sud Specialty Group - Ca (Santa Clara, CA), Grow Healthcare Group PC (San Jose, CA), Pure Autism Counseling Center Inc (Santa Clarita, CA), Total Life Ca, P.C. (Los Angeles, CA) and Grow Healthcare Group PA (Miami, FL). 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 Andrew Mendonsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Mendonsa accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna HealthCare of Arizona, Inc, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Andrew Mendonsa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Andrew Mendonsa was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Andrew Mendonsa, PSY.D., MBA · NPI 1760530117
Clinical provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1760530117 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY23208 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9261 FOLSOM BLVD STE 300, Sacramento, CA 95826-2559
- **Phone:** (916) 476-5152
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Pure Autism Counseling Center Inc (NPI 1649737735, Santa Clarita, CA); Total Life Ca, P.C. (NPI 1689389603, Los Angeles, CA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1760530117) · Data from the CMS NPPES public registry.