North East Family Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH EAST FAMILY CLINIC PA

Practice address

9740 Dyer St Ste 111&112
El Paso, TX 79924-4752

Phone

(915) 500-5030

NPI assigned

Jan 15, 2018

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claudia Jacquez

Title

MD Liasion

Phone

(915) 202-4463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Miguel Angel Caro, FNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1598936718
  Medicare reassignment NPD
• Mauro Provencio, M.D.

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1952560682
  Medicare reassignment NPD
• Nancy Barraza, FNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1790496917
  NPD (past)
• Judith Roman, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1386109635
  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255849097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FINSTERWALD PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366011",
            "telephone_number": "915-222-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 DYER ST STE 111&112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244752",
            "telephone_number": "915-500-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST FAMILY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JACQUEZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "MD LIASION",
        "authorized_official_telephone_number": "915-202-4463"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Alberto Noriega, M.D.
• Breona Norris
• Cynthia Yarery Norris, AGACNP-BC
• Tewiana C Norris
• Arturo Norte Jr., LVN
• North Loop Ventures Inc (North Loop Pharmacy)
• North Mesa Dental, PC (Kool Smiles)
• North Mesa Dental, PC (Pinova Dental)
• North Mesa Dental, PC (Pinova Dental)
• North Mesa Dental, PC (Pinova Dental)

• Family Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.