MAYRA MENDOZA – Certified Registered Nurse Anesthetist, NPI 1104469725

MAYRA MENDOZA is a healthcare provider. based in San francisco, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 95001263 (CA). The NPI Number for MAYRA MENDOZA is 1104469725

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MAYRA MENDOZA
NPI
1104469725
Phone
(559) 790-6930
Address
1005 HYDE ST APT 24
Enumeration Date
27 October 2019
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6509407000
Graduation Year
2019 (7 years ago)
PAC ID
2567899404
Group Practice PAC ID
7517360639
Professional Enrollment ID
I20200305000942
Address ID
CA940404302MO2500XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,455 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for MAYRA MENDOZA

  • 1005 HYDE ST APT 24

    SAN FRANCISCO, CA 941094921

    Phone: (559) 790-6930

    Type: Mailing

  • 101 Bodin Cir

    Travis AFB, CA 945351809

    Phone: (707) 423-7611

    Type: Location

  • 1840 SHAW AVE # 105-134

    CLOVIS, CA 936114078

    Phone: (559) 790-6930

    Type: Mailing

  • 505 PARNASSUS AVE

    SAN FRANCISCO, CA 941432204

    Phone: (559) 790-6930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $250.

Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Gilead Sciences, Inc. ($125).

Total Amount

$250

General + Research + Ownership

Payments

3

Total payment records

General Amount

$250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-03-05

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
I20200305000942ICertified Registered Nurse Anesthetist (Crna)CATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope8181$0
00812Anesthesia for exam of colon using an endoscope4040$0
00813Anesthesia for procedure on small and large bowel using an endoscope1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 94109)

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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: 7517360639View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YWA

Reviews

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Frequently asked questions

Can I verify MAYRA MENDOZA with an NPI only?
You can start verification with NPI 1104469725 for MAYRA MENDOZA, then check state licensing separately.
Can I rely on MAYRA MENDOZA being an active provider?
As of the registry snapshot, MAYRA MENDOZA is marked active.
What is MAYRA MENDOZA's specialty?
The listing groups MAYRA MENDOZA with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MAYRA MENDOZA list a practice location?
Patients near San Francisco, California may find MAYRA MENDOZA in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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