Provider Demographics
NPI:1487063434
Name:MENDOZA, ALEJANDRO SAROPDAS (MD)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:SAROPDAS
Last Name:MENDOZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 340850
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-0850
Mailing Address - Country:US
Mailing Address - Phone:415-990-5601
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF PATHOLOGY - UC DAVIS HEALTH
Practice Address - Street 2:4400 V ST
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1445
Practice Address - Country:US
Practice Address - Phone:916-734-2011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2024-10-21
Deactivation Date:2018-07-03
Deactivation Code:
Reactivation Date:2018-07-10
Provider Licenses
StateLicense IDTaxonomies
CAA144897207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology