MENDIVIL CLINIC FOR FOOT & ANKLE NPI 1396524054

NPI Information

  • NPI: 1396524054
  • Provider Name: MENDIVIL CLINIC FOR FOOT & ANKLE
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • :
  • Address: 11621 PELLICANO DR
    EL PASO, TX
    ZIP 79936
  • Phone: (915) 206-5044

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NPI Details

MENDIVIL CLINIC FOR FOOT & ANKLE is a foot and ankle surgery podiatrist in El Paso, TX. MENDIVIL CLINIC FOR FOOT & ANKLE NPI is 1396524054. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

11621 PELLICANO DR
EL PASO, TX
ZIP 79936-242
Phone: (915) 206-5044

The provider's authorized official is Jason Mendivil .
The authorized official title is Owner and has the following contact phone number (915) 309-0513.

The enumeration date for this NPI number is 9/22/2023 and was last updated on 7/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0102XSurgerySurgical Critical CareNo
2208D00000XGeneral PracticeNo
3207Q00000XFamily MedicineNo
4208600000XSurgeryNo
5363LF0000XNurse PractitionerFamilyNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7213ES0103XPodiatristFoot & Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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