Organization Active NPI

Luz a. Candelaria,D.O.P.a.,Dba/Candelaria Medical Center

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1285679936
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LUZ A. CANDELARIA,D.O.P.A.,DBA/CANDELARIA MEDICAL CENTER
Practice address
8269 North Loop Road
El Paso, TX 79907-4234
Phone
(915) 591-1615
Fax
(915) 591-2875
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Luz Alejandro Candelaria, D.O.
Title
Physician, Owner
Phone
(915) 591-1615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8269 North Loop Road
El Paso, TX 79907-4234

Mailing address

8269 North Loop Road
El Paso, TX 79907-4234
Phone (915) 591-1615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050720000259 TX Part B Supplier - Clinic/Group Practice 2264469402 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0509818Candelaria Medical Center8269 North Loop, El Paso, TX 79907Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory

Locations

8269 N Loop Dr
#C
El Paso, TX 79907
Phone (915) 591-1615

8269 N Loop Dr
El Paso, TX 79907
Phone (915) 590-2800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1285679936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 NORTH LOOP ROAD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074234",
            "telephone_number": "915-591-1615",
            "fax_number": "915-591-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 NORTH LOOP ROAD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074234",
            "telephone_number": "915-591-1615",
            "fax_number": "915-591-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ A. CANDELARIA,D.O.P.A.,DBA/CANDELARIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "915-591-1615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.