Gabriel Rene Ortiz, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00764 Issued in TX

Practice address

1201 E Schuster Ave Ste 5B
El Paso, TX 79902-4676

Phone

(915) 544-3229

Fax

(915) 544-3091

NPI assigned

Mar 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allergy & Asthma Center of El Paso, PA

  dba BreatheAmerica El Paso, Inc.

  • Allergy Physician
  • El Paso, TX
  • NPI 1134561566
  NPD (past)

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1104191238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 5B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024676",
            "telephone_number": "915-544-3229",
            "fax_number": "915-544-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 5B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024676",
            "telephone_number": "915-544-3229",
            "fax_number": "915-544-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GABRIEL",
        "middle_name": "RENE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA00764",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Roberto Ortiz, M.D.
• Daniel Ortiz, M.D.
• Danika Ortiz
• Ernesto Ortiz
• Gabriel Ortiz
• Gloria Andreina Ortiz
• Irma Ortiz, EFDA
• Jessica Ortiz
• Jessica Ortiz
• Jessica Ortiz, AGACNP-BC

• Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.