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

Octavio M. Mujica Rendon

Individual provider Physician Assistant · NPI 1366168841

Octavio M. Mujica Rendon is a Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3140 N 35th Ave Ste 7
Phoenix, AZ 85017-5270
Phone: (602) 353-6656
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1366168841
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 17, 2022
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

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