Victor Gomez Vanval Enterprise

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0055163 Issued in TX

Legal business name

VICTOR GOMEZ VANVAL ENTERPRISE

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

Organization subpart

No

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

Authorized official

Name

Mr. Victor Gomez, R.T.

Title

Owner

Phone

(915) 593-3556

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• VanVal Medical Doing business as

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144538901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144537101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "531034",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE PLAN",
            "identifier": "QMP000003931980",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VanVal Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Vicencio, RSPS
• Manuel Alejandro Vicente, AUD
• Linda T Vick, L.C.S.W,
• Lindsey Vick, LVN
• Charles Alan Vickrey, F.N.P.
• Victor Ramirez Optometrist PC
• Victoria'S in-Home Care
• Kirk Lance Victorian, CRNA
• Victory Counseling Center, Inc.
• Vida Nueva Wellness Center

• Durable Medical Equipment & Medical Supplies in El Paso, TX
• Providers in El Paso, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• 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.