NPIMap

Organization Active NPI

Sun City Kidz Clinic PA

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1225266885
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M3305 Issued in TX
Legal business name
SUN CITY KIDZ CLINIC PA
Practice address
4687 N Mesa St
Suite 100
El Paso, TX 79912-6184
Phone
(915) 328-4793
Fax
(915) 591-9215
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Angelica Machorro, M.D.NPI 1134171747
Title
Physician
Phone
(915) 433-6968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M3305 TX Primary

Addresses

Primary practice location

4687 N Mesa St
Suite 100
El Paso, TX 79912-6184

Mailing address

4687 N Mesa St
Suite 100
El Paso, TX 79912-6184

National Provider Directory

National Provider Directory

Locations

4687 N Mesa St
Ste 100
El Paso, TX 79912
Phone (915) 500-4086

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1225266885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4687 N MESA ST",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 N MESA ST",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126184",
            "telephone_number": "915-328-4793",
            "fax_number": "915-591-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY KIDZ CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "MACHORRO",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "915-433-6968",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M3305",
            "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 Jun 22, 2009; 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.