Healthcare Provider Details

I. General information

NPI: 1811680945
Provider Name (Legal Business Name): WARREN SOLIMAN MENDOZA MA, APCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 BRODER BLVD
DUBLIN CA
94568-3309
US

IV. Provider business mailing address

26541 SUNVALE CT
HAYWARD CA
94544-3662
US

V. Phone/Fax

Practice location:
  • Phone: 925-551-6500
  • Fax:
Mailing address:
  • Phone: 510-571-6745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14601
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: