Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Mendoza Church

Individual provider Physician Assistant · NPI 1275046591

Ellen Mendoza Church is a Physician Assistant in San Jose, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

130 E San Fernando St Apt 410
San Jose, CA 95112-7416
Phone: (408) 775-1411
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275046591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2017
Last updated in NPPESFebruary 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Jose