MEDICARE: DR. FERNANDO MENDEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	A170956	CA
2	2084P0804X	Child & Adolescent Psychiatry Physician	20019	NV
3	2084P0800X	Psychiatry Physician	A170956	CA
4	2084P0800X	Psychiatry Physician	20019	NV

General Provider Information

NPI Number	:	1720472327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERNANDO MENDEZ M.D.

Provider Business Mailing Address
First Line	:	7312 W CHEYENNE AVE STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7425
Country	:	US
Telephone Number	:	702-728-1328
Fax Number	:	725-205-1977

Provider Business Practice Location Address
First Line	:	7312 W CHEYENNE AVE STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7425
Country	:	US
Telephone Number	:	725-308-8465
Fax Number	:	725-205-1977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2015
Last Update Date	:	11/10/2025

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Directions to “ DR. FERNANDO MENDEZ M.D.” Practice Location

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