Individual provider Active NPI

Alexander Mendoza, D.O.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1033733340
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U7014 Issued in TX
Practice address
4306 De Zavala Rd
San Antonio, TX 78249-4590
Phone
(210) 450-6720
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X U7014 TX
Family Medicine Physician 207Q00000X U7014 TX Primary

Addresses

Primary practice location

4306 De Zavala Rd
San Antonio, TX 78249-4590

Mailing address

4306 De Zavala Rd
San Antonio, TX 78249-4590
Phone (210) 450-6720

Other practice location 1

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625000373 TX Practitioner - Family PracticePractitioner - Sports Medicine 8426591934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4306 De Zavala Rd
BLDG 1
San Antonio, TX 78249-4590
Phone (210) 450-6720

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
U7014TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Family Medicine Current Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2024 Accepting new patients

Locations

4306 De Zavala Rd
Bldg 1
San Antonio, TX 78249
Phone (210) 450-6720

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4306 De Zavala Rd
San Antonio, TX 78249
Phone (210) 450-6720

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1033733340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494590",
            "telephone_number": "210-450-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494590",
            "telephone_number": "210-450-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "U7014",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U7014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.