Carlene A Mendieta DDS
Carlene A Mendieta DDS is a healthcare organization registered as Periodontics in Pinole, CA, holding Type 2 (organization) NPI 1780668020 since 2005. The authorized official on file is Carlene Mendieta, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780668020 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Carlene A Mendieta DDS |
| Practice address | 1420 TARA HILLS DR, #C, Pinole, CA, 94564 |
| Phone | 5107248441 |
| Fax | 5107240120 |
| Enumeration date | 2005-11-30 |
| Last updated in NPPES | 2008-07-14 |
Authorized official
| Name | Carlene Mendieta |
|---|---|
| Title | Owner |
| Phone | 5107248441 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0300X | Periodontics | Primary | DA34741 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA34741 | Other | CA | LICENSE NUMBER |
Copy-ready billing details
Provider: Carlene A Mendieta DDS NPI: 1780668020 Taxonomy: 1223P0300X (Periodontics) Address: 1420 TARA HILLS DR, #C, Pinole, CA, 94564
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831169010 | Paul Ryan | Individual | Ophthalmology Physician | Pinole, CA |
| 1902161359 | Linda Hur | Individual | Optometrist | Pinole, CA |
| 1225550130 | Emily Choh | Individual | Optometrist | Pinole, CA |
Verify this record
Cross-check NPI 1780668020 against the authoritative CMS record: view Carlene A Mendieta DDS on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Carlene A Mendieta DDS located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-14.