Individual provider Active NPI

Jesus Ernesto Narcizo

  • Surgical Physician Assistant
  • El Paso, TX
National Provider Identifier
1043797624
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone
(915) 832-2600
NPI assigned
Jul 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

3280 Joe Battle Blvd
El Paso, TX 79938-2622

Mailing address

12210 Montwood Dr Ste 103
El Paso, TX 79928-1785
Phone (915) 799-8783

Other identifiers 1

IdentifierTypeStateIssuer
163592OtherNBSTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1043797624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 MONTWOOD DR STE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799281785",
            "telephone_number": "915-799-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382622",
            "telephone_number": "915-832-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARCIZO",
        "first_name": "JESUS",
        "middle_name": "ERNESTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBSTA",
            "identifier": "163592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.