Active NPI
Jayda Bella-Valenzuela
- Rehabilitation Clinic/Center
- El Paso, TX
National Provider Identifier
1144671132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Practice address
- 11351 James Watt Dr Ste a
El Paso, TX 79936-6605 - Phone
- (915) 849-6602
- Fax
- (915) 849-6603
- NPI assigned
- Jun 30, 2016
- Last updated
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | TX | Primary |
Addresses
Primary practice location
11351 James Watt Dr Ste a
El Paso, TX 79936-6605
Mailing address
11351 James Watt Dr
Ste a
El Paso, TX 79936-6605
Phone (915) 849-6602
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1144671132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11351 JAMES WATT DR",
"address_2": "STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366605",
"telephone_number": "915-849-6602",
"fax_number": "915-849-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11351 JAMES WATT DR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366605",
"telephone_number": "915-849-6602",
"fax_number": "915-849-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLA-VALENZUELA",
"first_name": "JAYDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "TX",
"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 Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.