Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MICHAEL FORNOLES MENDOZA
Active
Individual
MICHAEL FORNOLES MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA18750
—
CA
Enumeration date
05/01/2007
Last updated
11/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up