NPI 1164779153
Jose Mendoza
Peer Specialist · Canoga Park, CA
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:54 am EDT
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Jose Mendoza is a health care provider (Peer Specialist) in Canoga Park, California with National Provider Identifier (NPI) 1164779153. The NPI was issued on Aug 8, 2012 and the registry record was last updated on Apr 15, 2026. The registry lists a license in California.
Registry record
- NPI
- 1164779153
- Type
- Individual (NPI-1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice location
- 6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303-4255 - Phone
- (747) 292-3136
- NPI issued
- Aug 8, 2012
- Registry record updated
- Apr 15, 2026
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X | California | MPSS-DAQXNF |
| Day Training/Habilitation Specialist | 373H00000X |
Confirm license status and discipline with the state board (links in NPI Lookup).
Peer Specialist providers in California
- Andre L. Frazier Sr.Riverside, CA
- Diana Jean Gregory, pssSan Diego, CA
- Joshua Steven Bruce, CPSSCampo, CA
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.