Jose Mendoza, MD - Medicare Pediatrics in Lakewood, CA

Jose Mendoza, MD is a medicare enrolled "Pediatrics" physician in Lakewood, California. His current practice location is 5750 Downey Ave, Suite 204, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at (562) 531-4362.

Jose Mendoza is licensed to practice in California (license number A32117) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588712541.

Contact Information

Jose Mendoza, MD
5750 Downey Ave, Suite 204,
Lakewood, CA 90712-1405
(562) 531-4362
(562) 531-2169



Physician's Profile

Full NameJose Mendoza
GenderMale
SpecialityPediatrics
Location5750 Downey Ave, Lakewood, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588712541
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385823574
  • Enrollment ID: I20110120000058

Medical Identifiers

Medical identifiers for Jose Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588712541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine A32117 (California)Secondary
208000000XPediatrics A32117 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jose Mendoza allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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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. Jose Mendoza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jose Mendoza, MD
5750 Downey Ave, Suite 204,
Lakewood, CA 90712-1405

Ph: (562) 531-4362
Jose Mendoza, MD
5750 Downey Ave, Suite 204,
Lakewood, CA 90712-1405

Ph: (562) 531-4362

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Pediatrics Doctors in Lakewood, CA

Kit H Lee, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3300 E South St, 204, Lakewood, CA 90805
Phone: 562-602-1733    Fax: 562-602-2337
Leslie Young, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4447 Candlewood St, Lakewood, CA 90712
Phone: 657-241-9935    Fax: 657-276-4736
Dr. Bothyna Fayed Sedrak, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3650 South St, Suite 209, Lakewood, CA 90712
Phone: 562-634-1254    
Arlene Francisco-hugh, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3650 E. South St., Suite 204, Lakewood, CA 90712
Phone: 562-602-8841    Fax: 562-602-8843

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