DR. EDWIN IVAN MENDOZA MD
NPI 1558116202
Student in an Organized Health Care Education/Training Program in El Paso, TX

Active since April 17, 2024
4800 ALBERTA AVE # MSC51009, EL PASO, TX 79905(915) 215-4116 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 30, 2024, Apr 17, 2024 (2 updates tracked since 2024).

About Dr. Edwin Ivan Mendoza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN IVAN MENDOZA MD (NPI 1558116202) is an individual student in an organized health care education/training program in El Paso, Texas, licensed in Texas (BP10090528) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1558116202
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDWIN IVAN MENDOZACredential: MD
Location Address4800 ALBERTA AVE # MSC51009El Paso, TX 79905-2709
Mailing Address130 Rick Francis St # 41007El Paso, TX 79905-2841 · (915) 215-5200 · Fax (915) 215-8640
Sole ProprietorNo
Enumeration DateApril 17, 2024
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1558116202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in TX · BP10090528
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4800 ALBERTA AVE # MSC51009, El Paso, TX 79905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Mendoza's NPI number?

The NPI number for Edwin Mendoza is 1558116202. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Edwin Mendoza located?

Edwin Mendoza practices at 4800 Alberta Ave # Msc51009, El Paso, TX 79905. The listed phone number is (915) 215-4116.

What is Edwin Mendoza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edwin Mendoza was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.