Provider Demographics
NPI:1396242665
Name:MENDOZA, SHEILA MALAPAD (NP)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:MALAPAD
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 F ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1817
Mailing Address - Country:US
Mailing Address - Phone:661-322-4008
Mailing Address - Fax:661-479-8250
Practice Address - Street 1:2701 F ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1817
Practice Address - Country:US
Practice Address - Phone:661-322-3008
Practice Address - Fax:661-322-5507
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA950103682084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNOT AVAILABLE
CA1396242665Medicaid
CA1392642665Medicaid