Kiana Leeann Mendivil, is a
Rehabilitation Practitioner based in San Jose, California. Kiana Leeann Mendivil is licensed to practice in California (license number ) and her current practice location is
298 Bernal Rd, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 370-8922.
NPI number for Kiana Leeann Mendivil is 1902679285 and her current mailing address is 298 Bernal Rd, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902679285.
Healthcare Provider's Profile
| Full Name | Kiana Leeann Mendivil |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
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| Location | 298 Bernal Rd, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902679285
- Provider Enumeration Date: 10/30/2023
- Last Update Date: 06/30/2025
Medical Identifiers
Medical identifiers for Kiana Leeann Mendivil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902679285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kiana Leeann Mendivil is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kiana Leeann Mendivil,
298 Bernal Rd,
San Jose, CA 95119-1809
Ph: (408) 370-8922 | Kiana Leeann Mendivil,
298 Bernal Rd,
San Jose, CA 95119-1809
Ph: (408) 370-8922 |
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