Organization Active NPI

Eastside Night Clinic

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1184742256
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EASTSIDE NIGHT CLINIC
Practice address
12135 Montwood Dr Ste 115
El Paso, TX 79936-0963
Phone
(915) 225-0600
Fax
(915) 225-0656
NPI assigned
Mar 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Tony Martinez
Title
Administrator
Phone
(915) 225-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

12135 Montwood Dr Ste 115
El Paso, TX 79936-0963

Mailing address

12135 Montwood Dr Ste 115
El Paso, TX 79936-0963
Phone (915) 225-0600

National Provider Directory

National Provider Directory

Locations

12135 Montwood Dr
Ste 115
El Paso, TX 79936
Phone (915) 225-0600

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184742256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12135 MONTWOOD DR STE 115",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360963",
            "telephone_number": "915-225-0600",
            "fax_number": "915-225-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12135 MONTWOOD DR STE 115",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360963",
            "telephone_number": "915-225-0600",
            "fax_number": "915-225-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE NIGHT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-225-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.