Individual provider Active NPI

Lorenzo Delolmo, L.S.A.

  • Surgical Physician Assistant
  • El Paso, TX
National Provider Identifier
1326167172
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
421 Stotts Ave
El Paso, TX 79932-2229
Phone
(915) 875-0890
Fax
(915) 875-0890
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SA00002 TX
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

421 Stotts Ave
El Paso, TX 79932-2229

Mailing address

PO Box 12567
El Paso, TX 79913-0567
Phone (915) 240-8234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA00002TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Redline Distributors Past Accepting new patients
El Paso Surgical Assistants, P.C. Surgical Past Accepting new patients

Organizations & group practices 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1326167172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12567",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799130567",
            "telephone_number": "915-240-8234",
            "fax_number": "915-875-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 STOTTS AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322229",
            "telephone_number": "915-875-0890",
            "fax_number": "915-875-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOLMO",
        "first_name": "LORENZO",
        "credential": "L.S.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "SA00002",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "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 21, 2017; 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.