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

Dr. Omar Mendoza, MD

Individual provider Emergency Medicine Physician · NPI 1619977261

Dr. Omar Mendoza, MD is an Emergency Medicine in Nogales, Arizona. Qualified in 1999, 27 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Texas.

Years since qualifying
27
Licensed in
AZ, CA, TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone: (520) 285-8020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence L3015 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 33157 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 204682 (CA)

Record details

NPI number1619977261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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