NPIMap

Organization Active NPI

Northeast Pediatric Night Clinic, P.a.

  • Pediatric Adolescent Medicine Physician
  • El Paso, TX
National Provider Identifier
1174670533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
K8807 Issued in TX
Legal business name
NORTHEAST PEDIATRIC NIGHT CLINIC, P.A.
Practice address
10755 Kenworthy St
El Paso, TX 79924-1717
Phone
(915) 821-5900
Fax
(915) 821-5902
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hector I Ocaranza, M.D.
Title
President
Phone
(915) 821-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X K8807 TX Primary

Addresses

Primary practice location

10755 Kenworthy St
El Paso, TX 79924-1717

Mailing address

10755 Kenworthy St
El Paso, TX 79924-1717
Phone (915) 821-5900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174670533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241717",
            "telephone_number": "915-821-5900",
            "fax_number": "915-821-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241717",
            "telephone_number": "915-821-5900",
            "fax_number": "915-821-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PEDIATRIC NIGHT CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCARANZA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-821-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "K8807",
            "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 Aug 22, 2020; 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.