Daniel Max Sepulveda, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D5203 Issued in TX

Practice address

1504 N. El Paso St.
El Paso, TX 79902-3943

Phone

(915) 542-1717

NPI assigned

Aug 28, 2009

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1114150844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N. EL PASO ST.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023943",
            "telephone_number": "915-542-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N. EL PASO ST.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023943",
            "telephone_number": "915-542-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "DANIEL",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D5203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000M3617",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Stewards, Inc.
• Seniorfirst Geriatric Care PLLC
• Richard Saffa Sennessie
• Amanda Sepulveda, SLP
• Annie Lissette Sepulveda, LPC
• Elizabeth Christine Sepulveda
• Esly Sepulveda
• Laura Leticia Sepulveda
• Sarah Ann Sepulveda, M.D.
• Francisca Desiree Sequeira Serna

• Internal Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.