Mendoza, Fernando C

Mendoza, Fernando C is an sole proprietor health care provider with primary practice located at 1704 State St , Santa Barbara CA 93101-2522. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Mendoza, Fernando C can be contacted via phone (805) 682-9942.

Contact Information

Primary practice address
1704 State St Santa Barbara CA 93101-2522
Phone: (805) 682-9942
Fax: (805) 563-9493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19277 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17178 California

Profile Details

NPI number 1245358449
LBN Legal business name Mendoza, Fernando C
Credentials PA, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Sep 6th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245358449 NPPES
California Other 1245358449 NPI

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