Organization Active NPI

Mission Valley Medical Clinic Inc

  • General Practice Physician
  • El Paso, TX
National Provider Identifier
1053624932
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MISSION VALLEY MEDICAL CLINIC INC
Practice address
9001 Cashew Dr
Ste 900
El Paso, TX 79907-2967
Phone
(915) 858-2300
Fax
(915) 858-2302
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Aida R De la Vega
Title
President
Phone
(915) 820-9228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9001 Cashew Dr
Ste 900
El Paso, TX 79907-2967

Mailing address

9001 Cashew Dr
Ste 900
El Paso, TX 79907-2967
Phone (915) 820-9228

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1053624932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 CASHEW DR",
            "address_2": "STE 900",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799072967",
            "telephone_number": "915-820-9228",
            "fax_number": "305-388-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 CASHEW DR",
            "address_2": "STE 900",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799072967",
            "telephone_number": "915-858-2300",
            "fax_number": "915-858-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "DE LA VEGA",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-820-9228"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 20, 2011; 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.