TERESA S MENDOZA (NP) – Nurse Practitioner, NPI 1336216191

TERESA S MENDOZA (NP) is a healthcare provider. based in Downey, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP13467 (CA). The NPI Number for TERESA S MENDOZA (NP) is 1336216191

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
TERESA S MENDOZA (NP)
NPI
1336216191
Phone
(562) 657-4292
Address
9353 IMPERIAL HWY
Enumeration Date
29 November 2006
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5624613000
Graduation Year
2002 (24 years ago)
PAC ID
7416072962
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20100921000640

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

16,538 NURSE PRACTITIONER in CA

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Provider Addresses for TERESA S MENDOZA (NP)

  • 9353, Imperial Highway, Downey, Los Angeles County, California, 90242, United States

    DOWNEY, CA 902422812

    Phone: (562) 657-4292

    Fax: (562) 657-4255

    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: 2010-09-21

PECOS data refreshed: 2026-06-15

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
I20100921000640INurse PractitionerCATBD

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 90242)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

Does TERESA S MENDOZA (NP) have a public NPI I can cite?
Public records show TERESA S MENDOZA (NP) under NPI 1336216191.
Should I treat TERESA S MENDOZA (NP) as an active provider?
Patients and plans typically see TERESA S MENDOZA (NP) as active in the national extract.
How should patients interpret TERESA S MENDOZA (NP)'s specialty?
The extract shows Nurse Practitioner for TERESA S MENDOZA (NP). Clinical services aligned with this taxonomy classification.
Is TERESA S MENDOZA (NP) tied to Downey, California?
If you are local to Downey, California, TERESA S MENDOZA (NP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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