| Mark Ross Silverio Mendoza, FNP-C | |
|
1620 Artesia Blvd, Redondo Beach, CA 90278-2838 | |
| (714) 882-0696 | |
| Not Available |
| Full Name | Mark Ross Silverio Mendoza |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1620 Artesia Blvd, Redondo Beach, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023893294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95024791 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empire Wound Care | 7113456708 | 11 |
| Global Wound Care Medical Group | 9335504539 | 152 |
| Entity Name | Molina Healthcare Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
| Entity Name | Global Wound Care Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
| Entity Name | Empire Wound Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710796792 PECOS PAC ID: 7113456708 Enrollment ID: O20250130001232 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Ross Silverio Mendoza, FNP-C 1620 Artesia Blvd, Redondo Beach, CA 90278-2838 Ph: (714) 882-0696 | Mark Ross Silverio Mendoza, FNP-C 1620 Artesia Blvd, Redondo Beach, CA 90278-2838 Ph: (714) 882-0696 |
Brittany Marie Brown, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 509 N Helberta Ave, Redondo Beach, CA 90277 Phone: 661-477-6090 | |
Mackenzie Flaws, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1611 S Catalina Ave Ste L75, Redondo Beach, CA 90277 Phone: 877-811-4331 | |
Caitlin Rota, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 432 S Pacific Coast Hwy, Redondo Beach, CA 90277 Phone: 310-710-1341 | |
Stephanie Farrar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Esplanade Apt 403, Redondo Beach, CA 90277 Phone: 262-364-6483 | |
Regina Isabel Cuenca, FNP-C, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 612 Knob Hill Ave, Redondo Beach, CA 90277 Phone: 310-409-3423 | |
Mrs. Jennifer Rush, RN, MSN, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1745 Wollacott St, Redondo Beach, CA 90278 Phone: 310-600-0795 |