DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO) – Family Medicine Physician, NPI 1023692415

DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO) is a healthcare provider. based in Watsonville, California. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 20A21895 (CA). The NPI Number for DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO) is 1023692415

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO)
NPI
1023692415
Phone
(831) 763-8400
Address
1430 FREEDOM BLVD
Enumeration Date
11 May 2021
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8317638400
Graduation Year
2021 (5 years ago)
PAC ID
0143768846
Group Practice PAC ID
7618872912
Professional Enrollment ID
I20240813001818
Address ID
CA950762780WA1430XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO)

  • 1430 FREEDOM BLVD

    WATSONVILLE, CA 950762780

    Phone: (831) 763-8400

    Type: Mailing

  • 1441 CONSTITUTION BLVD

    BLDG 400 3RD FLOOR

    SALINAS, CA 93906

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Novo Nordisk Inc ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240813001818IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618872912View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO) in the U.S.?
In the U.S., DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO) is identified by NPI 1023692415.
Does the public listing show DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO) as active?
DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO)'s NPI record reflects an active status in NPPES.
What type of care does DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO) provide?
DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO) in Watsonville, California?
For routing, start with Watsonville, California for DR. MIGUEL ALEJANDRO LOPEZ MENDOZA (DO), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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