Active NPI
Jason Mendoza
- Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 338107
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 742-9000
- NPI assigned
- Aug 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1132860 | TX | |
| Nurse Practitioner | 363L00000X | 338107 | AZ | Primary |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
804 Lochridge
Amarillo, TX 79118-1401
Phone (806) 336-0464
Other practice location 1
520 E 6th St
Odessa, TX 79761-4527
Phone (432) 582-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657
Hospital & facility affiliations
- Northwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338107 | AZ | MD | Nurse Practitioner |
| 1132860 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalist Services of Texas PLLC | Current | Accepting new patients | |
| Gulf Coast Intensivists, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Texas PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2830 Calder St
Fl 4
Beaumont, TX 77702
Phone (409) 899-5156
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Hospitalist Physician
- Odessa, TX
- NPI 1295062198
-
- Critical Care Medicine (Internal Medicine) Physician
- Corpus Christi, TX
- NPI 1104509199
Nurse Practitioner
-
- Hospitalist Physician
- Corsicana, TX
- NPI 1396142394
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1700660693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 LOCHRIDGE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791181401",
"telephone_number": "806-336-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-742-9000"
}
],
"practiceLocations": [
{
"address_1": "520 E 6th St",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "797614527",
"country_code": "US",
"telephone_number": "432-582-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-22",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1132860",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "338107",
"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 Apr 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.