Organization Active NPI

Foot Specialists of El Paso

Doing business as Dr. Juan A . Gonzalez D/B/A Foot Specialists of El Paso

  • Podiatrist
  • El Paso, TX
National Provider Identifier
1356384622
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1282 Issued in TX
Legal business name
FOOT SPECIALISTS OF EL PASO
Doing business as
Dr. Juan A . Gonzalez D/B/A Foot Specialists of El Paso
Practice address
1501 N Mesa St
Suite 104
El Paso, TX 79902-4046
Phone
(915) 577-0744
Fax
(915) 577-0271
NPI assigned
Jun 14, 2006
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Juan A. Gonzalez, D.M.P.NPI 1245266170
Title
Podiatrist
Phone
(915) 577-0744

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
Podiatrist 213E00000X 1282 TX Primary

Addresses

Primary practice location

1501 N Mesa St
Suite 104
El Paso, TX 79902-4046

Mailing address

5959 Gateway Blvd W
Suite 120
El Paso, TX 79925-3331
Phone (915) 779-1716

Other identifiers 1

IdentifierTypeStateIssuer
Z00059AH7MedicaidTX

Other names 1

  • Dr. Juan A . Gonzalez D/B/A Foot Specialists of El Paso Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000320 TX Part B Supplier - Clinic/Group Practice 7416861091 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1014 N Mesa St
Ste 100
El Paso, TX 79902

10501 Gateway Blvd W
Ste 120
El Paso, TX 79925
Phone (915) 540-7070

1501 Arizona Ave
Ste 15
El Paso, TX 79902

1501 Arizona Ave
Ste 15A
El Paso, TX 79902

1501 N Mesa St
Ste 104
El Paso, TX 79902

1900 N Oregon St
Ste 520
El Paso, TX 79902
Phone (408) 772-9816

4400 N Mesa St
Ste 2
El Paso, TX 79902

6330 N Mesa St
Ste F
El Paso, TX 79912

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1356384622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "SUITE 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-779-1716",
            "fax_number": "915-779-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MESA ST",
            "address_2": "SUITE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024046",
            "telephone_number": "915-577-0744",
            "fax_number": "915-577-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF EL PASO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "915-577-0744",
        "authorized_official_credential": "D.M.P."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z00059AH7",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Juan A . Gonzalez D/B/A Foot Specialists of El Paso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.