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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.

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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?
The practice location on file with NPPES is in Pinole, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-14.