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KIMBERLY MENDOZA M.S.
NPI 1932632874
Marriage & Family Therapist in Pomona, CA

Active since April 07, 2017PECOS Enrolled
790 E BONITA AVE, POMONA, CA 91767(909) 625-7207 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Mendoza M.s. NPPES

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

KIMBERLY MENDOZA M.S. (NPI 1932632874) is an individual marriage & family therapist in Pomona, California, licensed in California (114108) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1932632874
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLY MENDOZACredential: M.S.
Location Address790 E BONITA AVEPomona, CA 91767-1906
Mailing Address790 E Bonita AvePomona, CA 91767-1906
Phone(909) 625-7207
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 7, 2017
Last NPPES UpdateJuly 9, 2019
✔ NPI 1932632874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 114108
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
790 E BONITA AVE, Pomona, CA 91767
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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)

Kimberly Mendoza M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870052509
PECOS Enrollment IDI20260824002938
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 Kimberly Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meru Health Medical, P.A.
2,366 mi
Psychiatry
196 W ASHLAND ST
Doylestown, PA 18901
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Meru Health Medical PA
  • 28 clinicians in this Medicare group
NPI 1326716432 (833) 940-1385

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.

MS. LOYCE ANN HAMPSON M.A.
Rehabilitation Practitioner
790 E BONITA AVE
POMONA, CA 91767
Los Angeles County (714) 470-1457
APRIL MICHELLE FORD MD
Family Medicine
790 E BONITA AVE, 2ND FLOOR
POMONA, CA 91767
Los Angeles County (909) 447-8585
ALMA CRISTINA CASTRO PT
Licensed Psychiatric Technician
790 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 625-7207
PEDRO GARCIA BENGOCHEA
Student in an Organized Health Care Education/Training Program
790 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 625-7207
NATALIE S. CAMPOS
Social Worker (Clinical)
790 E BONITA AVE
POMONA, CA 91767
Los Angeles County (951) 807-7448
KIMBERLY THOMPSON
Rehabilitation Practitioner
790 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 625-7207
KATHIA SOFIA AVILES
Counselor (Mental Health)
790 E BONITA AVE
POMONA, CA 91767
Los Angeles County (714) 853-8842
GENESIS JIMENEZ
Social Worker
790 E BONITA AVE
POMONA, CA 91767
Los Angeles County (626) 254-5000

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 Kimberly Mendoza's NPI number?

The NPI number for Kimberly Mendoza is 1932632874. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Kimberly Mendoza located?

Kimberly Mendoza practices at 790 E Bonita Ave, Pomona, CA 91767. The listed phone number is (909) 625-7207.

What is Kimberly Mendoza's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kimberly Mendoza enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mendoza reassigns Medicare benefits to Meru Health Medical, P.A. (Doylestown, PA). 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 Kimberly 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 Kimberly Mendoza was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.