Active NPI
Jorge G. Guzman, M.D.
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1427049378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K9556
- Practice address
- 1485 George Dieter
Suite 107
El Paso, TX 79936 - Phone
- (915) 521-2259
- Fax
- (915) 521-7082
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K9556 | TX | Primary |
Addresses
Primary practice location
1485 George Dieter
Suite 107
El Paso, TX 79936
Mailing address
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106138402 | Medicaid | TX |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9556 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso County Hospital District | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients |
Locations
1485 George Dieter Dr
Ste 107
El Paso, TX 79936
Phone (915) 521-7087
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
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.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1427049378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 ALAMEDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052705",
"telephone_number": "915-521-7415",
"fax_number": "915-521-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 GEORGE DIETER",
"address_2": "SUITE 107",
"city": "EL PASO",
"state": "TX",
"postal_code": "79936",
"telephone_number": "915-521-2259",
"fax_number": "915-521-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "JORGE",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K9556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106138402",
"state": "TX"
}
],
"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 Mar 10, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.