Individual provider Active NPI

Jayda Bella-Valenzuela

  • Rehabilitation Clinic/Center
  • El Paso, TX
National Provider Identifier
1144671132
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.