Individual provider Active NPI

Cesar Gerardo Morales, PA-C

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1205368586
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11180 Issued in TX
Practice address
200 Lisbon St
El Paso, TX 79905-4604
Phone
(915) 630-5145
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11180 TX Primary

Addresses

Primary practice location

200 Lisbon St
El Paso, TX 79905-4604

Mailing address

11888 Belfry Park Dr
El Paso, TX 79936-0899
Phone (915) 630-5145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020002333 TX Practitioner - Physician Assistant 6103192034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Centro de Salud Familiar la Fe, Inc.Group PAC ID 7315937448, 20 clinicians

Practice addresses (Care Compare)

700 S Ochoa St
El Paso, TX 79901-2936
Phone (915) 545-4550

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar la Fe, Inc. CurrentSince May 1, 2017 Accepting new patients
Centro de Salud Familiar la Fe, Inc Past Accepting new patients

Locations

1314 E Yandell Dr
El Paso, TX 79902

823 E Yandell Dr
El Paso, TX 79902
Phone (915) 545-7205

700 S Ochoa St
El Paso, TX 79901
Phone (915) 545-4550

200 Lisbon St
El Paso, TX 79905
Phone (915) 630-5145

721 S Ochoa St
El Paso, TX 79901
Phone (915) 545-7090

12101 Socorro Rd
San Elizario, TX 79849
Phone (915) 851-5519

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1205368586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11888 BELFRY PARK DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360899",
            "telephone_number": "915-630-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LISBON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799054604",
            "telephone_number": "915-630-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "CESAR",
        "middle_name": "GERARDO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.