Healthcare Provider Details

I. General information

NPI: 1457299141
Provider Name (Legal Business Name): YAIR MENDOZA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 W MAIN ST
MERCED CA
95340-4521
US

IV. Provider business mailing address

12515 PRAIRIE DUNES CIR
CHOWCHILLA CA
93610-2025
US

V. Phone/Fax

Practice location:
  • Phone: 925-321-9307
  • Fax:
Mailing address:
  • Phone: 209-446-9232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: