Healthcare Provider Details

I. General information

NPI: 1902748262
Provider Name (Legal Business Name): BISHOP MENTAL HEALTH, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 PALM AVE STE 211
LA MESA CA
91941-5244
US

IV. Provider business mailing address

4730 PALM AVE STE 211
LA MESA CA
91941-5244
US

V. Phone/Fax

Practice location:
  • Phone: 619-549-7823
  • Fax:
Mailing address:
  • Phone: 619-549-7823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ARGENIS ALBERTO MENDOZA
Title or Position: CEO/PMHNP-BC
Credential: MENDOZA
Phone: 619-549-7823