VANESSA ALLISON MENDOZA – Physician Assistant, NPI 1154029098

VANESSA ALLISON MENDOZA is a healthcare provider. based in Orange, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA62340 (CA). The NPI Number for VANESSA ALLISON MENDOZA is 1154029098

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
VANESSA ALLISON MENDOZA
NPI
1154029098
Phone
Not provided
Address
1100 W TOWN AND COUNTRY RD STE 1300
Enumeration Date
20 February 2023
Last Update Date
20 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9497209266
Graduation Year
2022 (4 years ago)
PAC ID
0547626673
Group Practice PAC ID
6103044078
Professional Enrollment ID
I20230516002412
Address ID
CA926633668NE520XXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for VANESSA ALLISON MENDOZA

  • 1100 W TOWN AND COUNTRY RD STE 1300

    ORANGE, CA 928684654

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-05-16

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
I20230516002412IPhysician AssistantCATBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes577179$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes462132$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month15696$0
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month8842$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month3632$0
View full utilization report →

Insurance plans in this area (ZIP 92868)

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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: 6103044078View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How do I look up VANESSA ALLISON MENDOZA by NPI?
Use NPI 1154029098 when you need to reference VANESSA ALLISON MENDOZA in forms, claims, or directories.
Does this profile mean VANESSA ALLISON MENDOZA is currently active?
Yes — VANESSA ALLISON MENDOZA appears active in the national provider directory.
What kind of provider is VANESSA ALLISON MENDOZA?
The page reflects Physician Assistant for VANESSA ALLISON MENDOZA. Clinical services aligned with this taxonomy classification.
What location metadata exists for VANESSA ALLISON MENDOZA?
The page summarizes Orange, California for VANESSA ALLISON MENDOZA; expand the address list for detail.
How can I contact VANESSA ALLISON MENDOZA?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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