MENDOZA MEDICAL CLINIC – NPI #1073839759
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MENDOZA MEDICAL CLINIC is a provider located in KENNER, LA. NPPES has assigned the NPI number 1073839759 to MENDOZA MEDICAL CLINIC on April 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ROBERTO C MENDOZA,M.D.APMC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Sep 22, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MENDOZA MEDICAL CLINIC below.

NPI Profile for
MENDOZA MEDICAL CLINIC

NPI Number
1073839759
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MENDOZA MEDICAL CLINIC
Former Legal Business Name: ROBERTO C MENDOZA,M.D.APMC
Primary location
3100 WILLIAMS BLVD
KENNER, LA 70065
Phone: (504) 443-1744 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERTO MENDOZA
OWNER
Phone: (504) 443-1744
Updated
Identifiers

Identifiers for MENDOZA MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1191272
MEDICAIDLA2118099
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.