Alisa Josefina Mendoza, PA
Physician Assistant · San Bernardino, CA
Alisa Josefina Mendoza, PA is a physician assistant with a practice address in San Bernardino, California, and NPI 1174412910, issued on Jun 28, 2025. Check the license (California PA67119, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Alisa Josefina Mendoza
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA67119 CA
Self-reported in NPPES; status is on the state search - Practice location
- 2101 N Waterman Ave, San Bernardino, CA 92404
- Phone
- (909) 883-8711
- Enumerated
- Jun 28, 2025
- Record last updated
- Dec 19, 2025
- Medicare enrollment
- Enrolled (PECOS I20251205002654); may accept Medicare assignment
- Entity
- Type 1 · individual
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Also registered at 2101 N Waterman Ave
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Verify Alisa Josefina Mendoza in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PA67119Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Alisa Josefina Mendoza among 14,451 physician assistant records in California
Alisa Josefina Mendoza, PA is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 93% of them.
- NPI issued2025 · 93% of these records are older, 3% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2025 · median 2018 among the 7,214 with a school on file
- Record last updated2025 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
83 physician assistant records list a practice address in San Bernardino
They are 83 of the 5,645 NPPES records with a practice address in San Bernardino, and 14,451 physician assistant records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 14,451 in California → Every provider in San Bernardino → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Silvia Barr, PA-CSan Bernardino, CA 924041245602259
- Brian Benson, PA-CSan Bernardino, CA 924041700943107
- William Boyle, PA-CSan Bernardino, CA 924041124053715
- Raymond Cervenka, PASan Bernardino, CA 924041497965529
- Deval Dave, PASan Bernardino, CA 924041013220458
- William Inciso, PA-C, PHDSan Bernardino, CA 924041407050289
- Amber Janson, PA-CSan Bernardino, CA 924041750753141
- Billy Kim, PA-CSan Bernardino, CA 924041285973859
Common questions
What is Alisa Josefina Mendoza, PA's NPI number?
Alisa Josefina Mendoza, PA's National Provider Identifier (NPI) is 1174412910, issued on Jun 28, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Alisa Josefina Mendoza, PA located?
The NPPES record lists a practice address at 2101 N Waterman Ave, San Bernardino, CA, 92404. Phone: (909) 883-8711. Providers update this record themselves, so call before visiting.
How can I verify Alisa Josefina Mendoza, PA's license?
NPPES lists California license number PA67119, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.