Mendivil Clinic for Foot & Ankle

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MENDIVIL CLINIC FOR FOOT & ANKLE

Doing business as

Mendivil Clinic for Foot and Ankle Surgery and Regenerative Medicine

Practice address

11680 Montana Ave Ste C200
El Paso, TX 79936-1461

Phone

(915) 206-5044

Fax

(915) 519-4671

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Jason Mendivil, DPMNPI 1790117893

Title

Owner

Phone

(915) 309-0513

Specialties & licenses 7

Addresses

Other names 1

• Mendivil Clinic for Foot and Ankle Surgery and Regenerative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Max Mendivil, DPM

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
  • NPI 1790117893
  Medicare reassignment NPD Authorized official
• Hector Lopez, D.O.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1346243847
  NPD

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1396524054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12339 CHIANTI DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799288644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 MONTANA AVE STE C200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361461",
            "telephone_number": "915-206-5044",
            "fax_number": "915-519-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11621 Pellicano Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799366242",
            "country_code": "US",
            "telephone_number": "915-206-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13472 Eastlake Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Horizon City",
            "state": "TX",
            "postal_code": "799286320",
            "country_code": "US",
            "telephone_number": "915-309-0513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDIVIL CLINIC FOR FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "MENDIVIL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-309-0513",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendivil Clinic for Foot and Ankle Surgery and Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Marie Teena Capulong Mendiola, M.D
• Larry Mendiola, LPC-A
• Lluvia Joahnna Mendiola, SLP
• Luis Garcia Mendiola Jr., M.D
• Raquel Mendiola, RD
• Jason Max Mendivil, DPM
• Rosa Mendivil, PTA
• Mendoza Family Dentistry PLLC (Cielo Dental and Orthodontics)
• Hector Manuel Mendoza Garcia
• Jorge Luis Mendoza Martinez, REGISTERED NURSE

• Foot & Ankle Surgery Podiatrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.