NPIMap

Organization Active NPI

Victor Gomez Vanval Enterprise

Doing business as VanVal Medical

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1174529945
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0055163 Issued in TX
Legal business name
VICTOR GOMEZ VANVAL ENTERPRISE
Doing business as
VanVal Medical
Practice address
11601 Pellicano Dr
Suite B8
El Paso, TX 79936-6279
Phone
(915) 593-3556
Fax
(915) 595-6556
NPI assigned
Jun 24, 2005
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Mr. Victor Gomez, R.T.NPI 1689931032
Title
Owner
Phone
(915) 593-3556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0055163 TX Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0055163 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0055163 TX

Addresses

Primary practice location

11601 Pellicano Dr
Suite B8
El Paso, TX 79936-6279

Mailing address

11601 Pellicano Dr
Suite B8
El Paso, TX 79936-6279
Phone (915) 593-3556

Other names 1

  • VanVal Medical Doing business as

National Provider Directory

National Provider Directory

Locations

11601 Pellicano Dr
Ste B8
El Paso, TX 79936
Phone (915) 593-3556

1560 Goodyear Dr
El Paso, TX 79936
Phone (915) 593-3556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1174529945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 PELLICANO DR",
            "address_2": "SUITE B8",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366279",
            "telephone_number": "915-593-3556",
            "fax_number": "915-595-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 PELLICANO DR",
            "address_2": "SUITE B8",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366279",
            "telephone_number": "915-593-3556",
            "fax_number": "915-595-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR GOMEZ VANVAL ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-593-3556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0055163",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0055163",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0055163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VanVal Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 25, 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.