Michael Anthony Mendez, NP
Nurse Practitioner in Stanford, CA. Individual provider (NPI-1).
NPI number1861983447
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1861983447
- Entity type
- Individual (NPI-1)
- Name
- Michael Anthony Mendez
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2018
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95009024 | CA | Yes |
Practice location
300 Pasteur DrStanford, CA 94305-2200
Phone 650-850-2048
Mailing address
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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