Omar Mendoza, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

L3015 Issued in TX

Practice address

1171 W Target Range Rd
Nogales, AZ 85621-2415

Phone

(520) 285-8020

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, AZ, CA3 enrollments

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 3

Specialty

Emergency Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Hospitalist Medicine Physicians of Texas - Cypress PLLCGroup PAC ID 5799217451, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
• Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
• Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Texas - Cypress PLLC

  • Internal Medicine Physician
  • Bonham, TX
  • NPI 1184458838
  Medicare reassignment Care Compare group NPD
• Cep America-Arizona LLP

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1841021581
  Medicare reassignment NPD
• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Arizona, Inc.

  • Emergency Medicine Physician
  • Sierra Vista, AZ
  • NPI 1700328663
  Medicare reassignment NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Texas PLLC

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1518475557
  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1134761331
  Medicare reassignment
• Emergency Services of Texas PA

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1174932131
  Medicare reassignment
• Ies Carrollton PLLC

  • Emergency Medicine Physician
  • Carrollton, TX
  • NPI 1134769789
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Santa Cruz, CA
  • NPI 1811274483
  NPD

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

• Hanford Community Hospital

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Care Compare affiliation
• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Care Compare affiliation
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Care Compare affiliation

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1619977261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 CAPLES CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799031511",
            "telephone_number": "915-881-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 W TARGET RANGE RD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212415",
            "telephone_number": "520-285-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "33157",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L3015",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "204682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33157",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thomas Maudlin, M.D.
• Norma A N Mayer, MA, LPC
• Bart L MC Rae, M.D.
• Shalonda Nekesh McAdams Marshall, LPC
• Med-Trans Corporation
• Raquel Anne Mendoza, FNP-C
• Mentally Ill Kids in Distress
• Jorge Raul Mera, MD
• Holly Mikayla Milner, BSN, RN
• Guadalupe Robles Misquez, N.P.

• Emergency Medicine Physician in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
• 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.