Healthcare Provider Details

I. General information

NPI: 1508565482
Provider Name (Legal Business Name): ARIANNA MENDIOLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5674 STONERIDGE DR STE 207
PLEASANTON CA
94588-8592
US

IV. Provider business mailing address

160 ALAMO PLZ UNIT 251
ALAMO CA
94507-4011
US

V. Phone/Fax

Practice location:
  • Phone: 925-520-0005
  • Fax: 925-520-0010
Mailing address:
  • Phone: 925-232-1130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163182
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: