Active NPI
Lorenzo Delolmo, L.S.A.
- Surgical Physician Assistant
- El Paso, TX
National Provider Identifier
1326167172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SA00002 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Surgical Physician Assistant
- El Paso, TX
- NPI 1194844175
-
- Customized Equipment (DME)
- El Paso, TX
- NPI 1780915439
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.