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Crystal Liz Corona Mendoza

Marriage and Family Therapist · Santa Clara

NPI 1750768206

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Sud Specialty Group - CA · 519 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Crystal Liz Corona Mendoza’s office at (866) 280-0260 to ask if they take your plan before you enroll.

California Medical Board record

Licence G2905 · Cancelled

Licence status: Cancelled · since 1954 · University of Illinois College of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$5,756 in 2021

Medicaid paid $5,756 for 130 billed services this clinician did in 2021, up to 13 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2021
Psychotherapy, 60 minutes with patient42$4,117
Telehealth originating site facility fee44$1,009
Telehealth transmission, per minute, professional services bill separately44$630
Medicaid work by year
2021130313$5,756

Professional record

NPI
1750768206
Licence
CA 2905, CA LMFT119578California G2905: Cancelled
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 106H00000X (106H00000X); Federal specialty code 101YP2500X (101YP2500X)
Mailing address
2300 Boswell Rd Ste 245, Chula Vista, CA, 91914
NPI first listed
2015-05-05
NPI last updated
2020-07-17
NPI record certified
2020-07-17

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1919 Apple St, Oceanside, CA, 92054