SAMANTHA J. MENDEZ (AGACNP) – Nurse Practitioner, NPI 1760200570

SAMANTHA J. MENDEZ (AGACNP) is a healthcare provider. based in Canyon country, California. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 95032103 (CA). The NPI Number for SAMANTHA J. MENDEZ (AGACNP) is 1760200570

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA J. MENDEZ (AGACNP)
NPI
1760200570
Phone
(760) 981-8004
Address
14340 SEQUOIA RD
Enumeration Date
30 September 2024
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516771111
Graduation Year
2023 (3 years ago)
PAC ID
3173043262
Group Practice PAC ID
2668812215
Professional Enrollment ID
I20250219002480
Address ID
CA925959681WI36485DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for SAMANTHA J. MENDEZ (AGACNP)

  • 14340 SEQUOIA RD

    CANYON COUNTRY, CA 913876201

    Phone: (760) 981-8004

    Type: Mailing

  • 38600 MEDICAL CENTER DR

    PALMDALE, CA 935514483

    Phone: (661) 382-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-02-19

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
I20250219002480INurse 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 91387)

Loading plans...

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: 2668812215View full group profile
NameSpecialtyState
Physician AssistantCA
Internal MedicineCA
Internal MedicineFL
Hospitalist, Internal MedicineMA
Internal MedicineCA
Internal MedicineNY
Internal MedicineCA
Nurse PractitionerCA
Family PracticeCA
Internal MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify SAMANTHA J. MENDEZ (AGACNP) with an NPI only?
You can start verification with NPI 1760200570 for SAMANTHA J. MENDEZ (AGACNP), then check state licensing separately.
Does CMS list SAMANTHA J. MENDEZ (AGACNP) as active?
Yes — SAMANTHA J. MENDEZ (AGACNP) is active in the NPI listing used on this page.
What is SAMANTHA J. MENDEZ (AGACNP)'s specialty?
The listing groups SAMANTHA J. MENDEZ (AGACNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SAMANTHA J. MENDEZ (AGACNP) list a practice location?
Patients near Canyon Country, California may find SAMANTHA J. MENDEZ (AGACNP) 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.

Similar Providers

27341 ROSE MALLOW LN
NPI: 1710320031

KENA S WILLIAMS (FNP-C)

Nurse Practitioner
195 PAGE MILL RD STE 103
NPI: 1518368059

LOVELLE RIVERA

Nurse Practitioner
18010 ANNES CIR
NPI: 1205228699

CHERYL TRAWEEK (PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
6 S 2ND ST STE 411
NPI: 1548643166
18302 SIERRA HWY STE 103
NPI: 1164896957

TRACEY M EASTERLING (N.P.)

Adult Health Nurse Practitioner
Soledad Canyon Road, Canyon Country, Santa Clarita, Los Angeles County, California, 91351, United States
NPI: 1992230478

DAVID TAMRAZYAN

Primary Care Nurse Practitioner
27225 CAMP PLENTY RD STE 4
NPI: 1487262861

CHARLES BUNAG

Nurse Practitioner
9128 WOODMAN AVE
NPI: 1952999187

GRACE VILORIA

Nurse Practitioner
17412 DOVE WILLOW ST
NPI: 1972486322