Ricardo Mendez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02228 Issued in TX

Practice address

1200 State Highway 100 Ste 5
Port Isabel, TX 78578-2450

Phone

(956) 943-6675

Fax

(956) 943-6864

NPI assigned

May 15, 2007

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• LV Imagingllc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Brownsville, TX
  • NPI 1407932460
  NPD (past) Authorized official
• Accuread Quality Mobile Xrays, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Brownsville, TX
  • NPI 1124218045
  NPD
• LV Imaging II, PLLC

  • Family Medicine Physician
  • Brownsville, TX
  • NPI 1033772801
  NPD
• Mobile X-Rays Services LLC

  • Mobile Radiology Clinic/Center
  • Weslaco, TX
  • NPI 1720689771
  NPD
• J.M. Garcia MD, PLLC

  • Family Medicine Physician
  • Brownsville, TX
  • NPI 1477796472
  NPD (past)
• Lower Valley Home Health, LLC

  • Home Health Agency
  • Brownsville, TX
  • NPI 1225243736
  NPD (past)
• P I Medical Day & Night Clinic

  • Rural Health Clinic/Center
  • Port Isabel, TX
  • NPI 1528010782
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1528274487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STATE HIGHWAY 100 STE 5",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782450",
            "telephone_number": "956-943-6675",
            "fax_number": "956-943-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE HIGHWAY 100 STE 5",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782450",
            "telephone_number": "956-943-6675",
            "fax_number": "956-943-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "RICARDO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00767024",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Luna
• Madre Bay Consulting and Psychological Services, PLLC
• Hugo Cesar Mata, PT, DPT
• Janis Mays, C.R.N.A.
• Linda McCampbell, FNP
• Esotarya Mitchell, ATC, MAT, LAT
• P I Medical Day & Night Clinic
• Paradise Physical Therapy
• Pinkerman Psychological Services, PLLC
• John Edward Pinkerman, PH.D

• Physician Assistant in Port Isabel, TX
• Providers in Port Isabel, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.