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

Jose Luis Mendivil Jr.

Individual provider Peer Specialist · NPI 1417785825

Jose Luis Mendivil Jr. is a Peer Specialist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

3525 Presley Ave
Riverside, CA 92507-4453
Phone: (951) 955-9375
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-SNQMUV (CA)

Record details

NPI number1417785825
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2024
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

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