Organization Active NPI

Developmental Behavioral Pediatrics of El Paso

  • Developmental - Behavioral Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1366177891
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
DEVELOPMENTAL BEHAVIORAL PEDIATRICS OF EL PASO
Practice address
840 E Redd Rd BLDG 3
El Paso, TX 79912-7265
Phone
(915) 270-8057
Fax
(888) 268-4808
NPI assigned
Jul 19, 2022
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Cesar Hernandez
Title
Office Manager
Phone
(915) 270-8057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X Primary

Addresses

Primary practice location

840 E Redd Rd BLDG 3
El Paso, TX 79912-7265

Mailing address

840 E Redd Rd BLDG 3
El Paso, TX 79912-7265
Phone (915) 270-8057

National Provider Directory

National Provider Directory

Locations

10470 Vista del Sol Dr
Ste 100
El Paso, TX 79925
Phone (915) 591-2080

840 E Redd Rd
Bldg 3
El Paso, TX 79912
Phone (915) 270-8057

Practitioners & affiliated clinicians

Practitioners 2

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": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1366177891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E REDD RD BLDG 3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127265",
            "telephone_number": "915-270-8057",
            "fax_number": "888-268-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E REDD RD BLDG 3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127265",
            "telephone_number": "915-270-8057",
            "fax_number": "888-268-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL BEHAVIORAL PEDIATRICS OF EL PASO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-270-8057"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "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 Sep 7, 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.

Verify at the official NPI Registry.