Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Max Mendivil, DPM

Individual provider Podiatrist · NPI 1790117893

Dr. Jason Max Mendivil, DPM is a Podiatry in El Paso, Texas. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 5 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2013
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11680 Montana Ave Ste C200
El Paso, TX 79936-1461
Phone: (915) 206-5044
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • Southern Arizona Va Health Care System, Tucson, AZ 85723-0001 — (520) 792-1450
  • 4646 N Mesa St, El Paso, TX 79912-6104 — (915) 313-6300
  • 11621 Pellicano Dr, El Paso, TX 79936-6242 — (915) 206-5044
  • 13472 Eastlake Blvd Ste A, Horizon City, TX 79928-6320 — (915) 313-6300

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2205 (TX)
Podiatrist Taxonomy 213E00000X · Licence 2205 (TX)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1790117893
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 31, 2013
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing address12339 Chianti Dr, El Paso, TX 79928-8644

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in El Paso