Provider Demographics
NPI:1578192944
Name:MENDOZA, FAYE GUZMAN (MD)
Entity type:Individual
Prefix:
First Name:FAYE
Middle Name:GUZMAN
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FAYE
Other - Middle Name:
Other - Last Name:MENDOZA-BARTKOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2204 GRANT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3877
Mailing Address - Country:US
Mailing Address - Phone:650-968-4535
Mailing Address - Fax:
Practice Address - Street 1:2204 GRANT RD STE 201
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3877
Practice Address - Country:US
Practice Address - Phone:650-968-4535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA188352208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics