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MENDOZA MEDICAL CLINIC
NPI 1942416045
Family Medicine in Norwalk, CA

Active since May 15, 2007
11735 FIRESTONE BLVD, NORWALK, CA 90650(562) 925-7716(562) 867-0665 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2023, Feb 17, 2023 (2 updates tracked since 2023).

About Mendoza Medical Clinic NPPES

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

MENDOZA MEDICAL CLINIC (NPI 1942416045) is a healthcare organization registered as a family medicine in Norwalk, California and active in the NPI registry since May 2007. The organization lists Manuel F. Mendoza, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942416045
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANUEL F. MENDOZA, M.D., INC
Location Address11735 FIRESTONE BLVDNorwalk, CA 90650
Mailing Address11735 Firestone BlvdNorwalk, CA 90650 · (562) 925-7716 · Fax (562) 867-0665
Phone(562) 925-7716
Fax(562) 867-0665
Organization SubpartNo
Authorized OfficialManuel F. MendozaCeo · (562) 925-7716
Enumeration DateMay 15, 2007
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1942416045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11735 FIRESTONE BLVD, Norwalk, CA 90650
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Other Names 1

Doing Business AsMendoza Medical Clinic

Other Identifiers 1

OtherW21839CA · Medicare Id

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mendoza Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mendoza Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Mayra Grey, FNP
Nurse Practitioner
NPI 1669258992
11735 FIRESTONE BLVD
Norwalk, CA 90650
(562) 925-7716
✔ PECOS✔ Accepts MedicareSame address
Manuel Mendoza, M.D.
Family Practice
NPI 1295824654
11735 FIRESTONE BLVD
Norwalk, CA 90650
(562) 925-7716
✔ PECOS✔ Accepts MedicareSame address
Ash Cordero, FNP
Nurse Practitioner
NPI 1770942336
11735 FIRESTONE BLVD
Norwalk, CA 90650
(562) 925-7716
✔ PECOS✔ Accepts MedicareSame address
Snooky Genalin Dagala, NP
Nurse Practitioner
NPI 1275044703
CLINIC OF MANUEL F MENDOZA, MD 11735 FIRESTONE BLVD
Norwalk, CA 90650
(562) 925-7716
✔ PECOS✔ Accepts Medicare0.6 mi
Ronan Patonona, NP-C
Nurse Practitioner
NPI 1407496433
16660 PARAMOUNT BLVD STE 306
Paramount, CA 90723
(562) 303-6862
✔ PECOS✔ Accepts Medicare4.9 mi
Singh Boun, MD
Family Practice
NPI 1801855028
210 N GARFIELD AVE SUITE 201
Monterey Park, CA 91754
(626) 280-5000
✔ PECOS✔ Accepts Medicare11 mi
Katrina Casimiro, NP, MSN
Nurse Practitioner
NPI 1629319017
1200 N STATE ST
Los Angeles, CA 90033
✔ PECOS12 mi
Rasiq Ahmed, M.D
Pediatric Medicine
NPI 1033394408
393 E WALNUT STREET KAISER PERMANENTE
Pasadena, CA 91188
(800) 541-7946
✔ PECOS✔ Accepts Medicare17 mi

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

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 Manuel F. Mendoza, M.D., Inc's NPI number?

The NPI number for Manuel F. Mendoza, M.D., Inc is 1942416045. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Mendoza Medical Clinic.

Where is Manuel F. Mendoza, M.D., Inc located?

Manuel F. Mendoza, M.D., Inc is located at 11735 Firestone Blvd, Norwalk, CA 90650. The listed phone number is (562) 925-7716.

What is Manuel F. Mendoza, M.D., Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manuel F. Mendoza, M.D., Inc enrolled in Medicare?

Yes. Manuel F. Mendoza, M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manuel F. Mendoza, M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Manuel F. Mendoza, M.D., Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Pediatric Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Manuel F. Mendoza, M.D., Inc was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.