Individual provider Active NPI

Cecilia C. De Vargas, M.D.

  • Child & Adolescent Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1225054513
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
F2219 Issued in TX
Practice address
4615 Alameda Ave
El Paso, TX 79905-2702
Phone
(915) 215-5871
Fax
(915) 545-6442
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X F2219 TX
Child & Adolescent Psychiatry Physician 2084P0804X F2219 TX Primary

Addresses

Primary practice location

4615 Alameda Ave
El Paso, TX 79905-2702

Mailing address

4615 Alameda Ave
El Paso, TX 79905-2702
Phone (915) 215-5871

Other identifiers 1

IdentifierTypeStateIssuer
123774504MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000143 TX Practitioner - Psychiatry 1951388479 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center El PasoGroup PAC ID 7517864754, 306 clinicians

Practice addresses (Care Compare)

4615 Alameda Ave
El Paso, TX 79905-2702
Phone (915) 215-5850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Child Guidance Center Inc CurrentSince Apr 21, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 1998 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 1998 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Ysleta del Sur Pueblo Community Health Center CurrentSince Jul 8, 2017 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
El Paso Child Guidance Center PastSince Apr 21, 2021 Accepting new patients

Locations

4615 Alameda Ave
El Paso, TX 79905
Phone (432) 268-7247

6700 Delta Dr
El Paso, TX 79905
Phone (915) 782-6300

2701 E Yandell Dr
El Paso, TX 79903
Phone (915) 562-1999

800 N Mesa St
Ste 150
El Paso, TX 79902
Phone (915) 215-6170

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

2211 E Missouri Ave
Ste 310
El Paso, TX 79903
Phone (915) 562-1999

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1225054513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052702",
            "telephone_number": "915-215-5871",
            "fax_number": "915-545-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052702",
            "telephone_number": "915-215-5871",
            "fax_number": "915-545-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VARGAS",
        "first_name": "CECILIA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F2219",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "F2219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123774504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.