Alisa Mendoza, PA
NPI 1174412910 · Physician Assistant · San Bernardino, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alisa Mendoza, PA is a Physician Assistant provider in San Bernardino, CA (NPI 1174412910).
Provider details
- NPI number
- 1174412910
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA67119 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-28
- Last updated
- 2025-12-19
- Certified
- 2025-12-19
Frequently asked questions
- What is Alisa Mendoza's NPI number?
- Alisa Mendoza's National Provider Identifier (NPI) is 1174412910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alisa Mendoza's specialty?
- Alisa Mendoza is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Alisa Mendoza located?
- Alisa Mendoza's practice location on file with NPPES is 2101 N Waterman Ave, San Bernardino, CA 92404-4836.
- What is Alisa Mendoza's phone number?
- The practice phone number listed in the NPPES registry for Alisa Mendoza is (909) 883-8711.
- Does Alisa Mendoza accept Medicare?
- Alisa Mendoza is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alisa Mendoza's NPI active?
- Yes — Alisa Mendoza's NPI (1174412910) is active in the NPPES registry as of the last update on 2025-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.