Physician Compare National (NPI:1194798496)

HEALTHCARE PROVIDER: LEONARDO CESAR MENDOZA III MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1194798496
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931156817
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061120000445
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MENDOZA
	Individual professional last name
Provider First Name	LEONARDO
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF OHIO
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2001 W ORANGE GROVE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 312
	Group Practice or individual's line 2 address
City	TUCSON
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	857041141
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030085
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHWEST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030114
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ORO VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y