Organization Active NPI

Community Medical Clinic PA

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1154638690
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9752 Issued in TX
Legal business name
COMMUNITY MEDICAL CLINIC PA
Practice address
3130 N Lee Trevino Dr Ste 114
El Paso, TX 79936
Phone
(915) 706-4065
Fax
(915) 706-7064
NPI assigned
Sep 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Dr. Hector Lopez, DO
Title
Owner
Phone
(915) 706-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F9752 TX Primary

Addresses

Primary practice location

3130 N Lee Trevino Dr Ste 114
El Paso, TX 79936

Mailing address

3130 N Lee Trevino Dr Ste 114
El Paso, TX 79936-2179
Phone (915) 706-4065

Other practice location 1

9955 Dyer St
El Paso, TX 79924-4709
Phone (915) 751-1249

National Provider Directory

National Provider Directory

Locations

9955 Dyer St
El Paso, TX 79924
Phone (915) 751-1249

1701 N Lee Trevino Dr
Ste C
El Paso, TX 79936
Phone (915) 593-5999

Practitioners & affiliated clinicians

Practitioners 2

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": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1154638690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N LEE TREVINO DR STE 114",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362179",
            "telephone_number": "915-706-4065",
            "fax_number": "915-706-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N LEE TREVINO DR STE 114",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-706-4065",
            "fax_number": "915-706-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9955 Dyer St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799244709",
            "country_code": "US",
            "telephone_number": "915-751-1249",
            "fax_number": "915-757-9454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-706-4065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9752",
            "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 31, 2018; 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.