Active NPI
Phillip Romero Mendoza, CO
- Orthotist
- Tucson, AZ
National Provider Identifier
1699757757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO3039
- Practice address
- 5375 E Erickson Dr
#104
Tucson, AZ 85712-2838 - Phone
- (520) 881-2312
- Fax
- (520) 881-2315
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO3039 | AZ | Primary |
Addresses
Primary practice location
5375 E Erickson Dr
#104
Tucson, AZ 85712-2838
Mailing address
5375 E Erickson Dr
#104
Tucson, AZ 85712-2838
Phone (520) 881-2312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO3039 | AZ | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699757757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5375 E ERICKSON DR",
"address_2": "#104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122838",
"telephone_number": "520-881-2312",
"fax_number": "520-881-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5375 E ERICKSON DR",
"address_2": "#104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122838",
"telephone_number": "520-881-2312",
"fax_number": "520-881-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "PHILLIP",
"middle_name": "ROMERO",
"name_prefix": "Mr.",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "AZ",
"license": "CO3039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.