Active NPI
Jonathan C Estrada
- Gerontology Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1203061
- Practice address
- 1801 N Oregon St
El Paso, TX 79902-3524 - Phone
- (915) 213-0900
- NPI assigned
- Sep 3, 2025
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1203061 | TX | Primary |
Addresses
Primary practice location
1801 N Oregon St
El Paso, TX 79902-3524
Mailing address
5539 N Mesa St
El Paso, TX 79912-5422
Phone (915) 213-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5539 N Mesa St
El Paso, TX 79912-5422
Phone (915) 213-0900
Hospital & facility affiliations
- Las Palmas Medical Center a Campus of LPDS Healthc
- The Hospitals of Providence - East Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1203061 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asad Omar MD PA | Multi-Specialty | Current | Accepting new patients |
| Revive Global PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
5539 N Mesa St
El Paso, TX 79912
1512 N Zaragoza Rd
Ste B
El Paso, TX 79936
Phone (915) 249-3900
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1972709970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1376423137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5539 N MESA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125422",
"telephone_number": "915-213-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N OREGON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799023524",
"telephone_number": "915-213-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "JONATHAN",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1203061",
"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 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.