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

Mr. Ismael Mendoza

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619342508

Mr. Ismael Mendoza is an Addiction (Substance Use Disorder) Counselor in Indio, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

44199 Monroe St Ste C
Indio, CA 92201-3094
Phone: (760) 863-2578
Fax: (760) 863-2569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 6427 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1619342508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2015
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

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