David Alexander Mendoza, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14917 Issued in TX

Practice address

4611 Centerview
San Antonio, TX 78228-1202

Phone

(210) 255-8935

Fax

(210) 255-8026

NPI assigned

Sep 8, 2021

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NSC Consultants, PAGroup PAC ID 5991850414, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Texas Spine and Surgical Hospital Hospital, San Antonio, TX, CCN 450856

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• NSC Consultants, PA

  • Neurological Surgery Physician
  • San Antonio, TX
  • NPI 1699905596
  Medicare reassignment Care Compare group
• M. Reza Mizani, M.D., P.a.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1497813331
  NPD (past)

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

• Orthopedic & Spine Surgical Hospital of South Texas, L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1295890093
  Care Compare affiliation

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1760151336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 CENTERVIEW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281202",
            "telephone_number": "210-255-8935",
            "fax_number": "210-255-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 CENTERVIEW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281202",
            "telephone_number": "210-255-8935",
            "fax_number": "210-255-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "PA14917",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Mendoza
• Bridgett Mendoza
• Carlos C Mendoza III, RPH
• Clarissa Marie Mendoza
• Crystal Elizabeth Mendoza, RN, NP, FNP-BC
• Evangelina Mendoza
• Francisca Mendoza
• Gina Alison Mendoza
• Josefine Mendoza
• Julie Mendoza

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.