JAMESON MENDOZA D.O.
NPI 1861871147
Student in an Organized Health Care Education/Training Program in Colton, CA

Active since May 20, 2015PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE, COLTON, CA 92324(909) 580-3366 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jameson Mendoza D.o. NPPES

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

JAMESON MENDOZA D.O. (NPI 1861871147) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861871147
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAMESON MENDOZACredential: D.O.
Location Address400 N PEPPER AVEColton, CA 92324-1801
Mailing Address1110 E Philadelphia St, Apt 3312Ontario, CA 91761-4810 · (425) 268-8939
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 20, 2015
Last NPPES UpdateNovember 29, 2021
NPI 1861871147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 N PEPPER AVE, Colton, CA 92324

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

Jameson Mendoza D.o. 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 ID8123372299
PECOS Enrollment IDI20181108002953
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.

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.

Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324

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 Jameson Mendoza's NPI number?

The NPI number for Jameson Mendoza is 1861871147. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Jameson Mendoza located?

Jameson Mendoza practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-3366.

What is Jameson Mendoza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jameson Mendoza enrolled in Medicare?

Yes. Jameson 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 Jameson Mendoza was last updated on November 29, 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.