Organization Active NPI

Family Medicine & Aesthetics PA

  • Primary Care Clinic/Center
  • El Paso, TX
National Provider Identifier
1306044227
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L3959 Issued in TX
Legal business name
FAMILY MEDICINE & AESTHETICS PA
Practice address
550 S. Mesa Hills Drive
Suite C-2
El Paso, TX 79912
Phone
(915) 845-5700
Fax
(915) 591-9215
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Carmen Georgina Escandon, M.D.NPI 1790792687
Title
Physician
Phone
(915) 845-5700

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
Primary Care Clinic/Center 261QP2300X L3959 TX Primary

Addresses

Primary practice location

550 S. Mesa Hills Drive
Suite C-2
El Paso, TX 79912

Mailing address

550 S. Mesa Hills Drive
Suite C-2
El Paso, TX 79912
Phone (915) 845-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070823000468 TX Part B Supplier - Clinic/Group Practice 8921190836 Receives reassigned benefits from 1 practitioner
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
45D1074320Family Medicine and Aesthetics PA550 S Mesa Hills Suite C-2, El Paso, TX 79912Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory

Locations

550 S Mesa Hills Dr
Ste C2
El Paso, TX 79912
Phone (915) 532-6069

Practitioners & affiliated clinicians

Practitioners 1

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1306044227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S. MESA HILLS DRIVE",
            "address_2": "SUITE C-2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-845-5700",
            "fax_number": "915-591-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S. MESA HILLS DRIVE",
            "address_2": "SUITE C-2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-845-5700",
            "fax_number": "915-591-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE & AESTHETICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "ESCANDON",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "GEORGINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "915-845-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L3959",
            "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 Feb 16, 2012; 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.