Active NPI
Justus Lawrence Opot, PA
- Physician Assistant
- El Paso, TX
National Provider Identifier
1356119556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1887-PA
- Practice address
- 2916 Cypress Ave
El Paso, TX 79905-4105 - Phone
- (915) 241-1198
- NPI assigned
- Dec 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1887-PA | PR | Primary |
Addresses
Primary practice location
2916 Cypress Ave
El Paso, TX 79905-4105
Mailing address
PO Box 695
El Paso, TX 79944-0695
Phone (915) 241-1198
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1887-PA | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1356119556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 695",
"city": "EL PASO",
"state": "TX",
"postal_code": "799440695",
"telephone_number": "915-241-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 CYPRESS AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799054105",
"telephone_number": "915-241-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPOT",
"first_name": "JUSTUS",
"middle_name": "LAWRENCE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "PR",
"license": "1887-PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Judith Onyango
- Ikechukwu Ifeanyi Onyedika, M.D.
- Valeria Isabel Onzures
- David O Opawumi, MD
- Maria Theresa Degracia Opina, M.D.
- Opportunities Acm, P.C. (Freedom Optometry)
- Opticas Franklin Optical LLC
- Opticas Franklin Optical,LLC
- Optimum Performance and Therapy Clinic, PLLC
- Optimum Psychiatric Care and Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.