Healthcare Provider Details

I. General information

NPI: 1245186907
Provider Name (Legal Business Name): MS. YAHDAEH EMILIA MENDOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/08/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 HOWARD ST
SAN FRANCISCO CA
94103-2820
US

IV. Provider business mailing address

412 MADISON ST APT 304
OAKLAND CA
94607-4683
US

V. Phone/Fax

Practice location:
  • Phone: 415-988-2156
  • Fax:
Mailing address:
  • Phone: 341-259-3483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: