Individual provider Active NPI

Fernando Antonio Villalobos Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1427651611
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1001569 Issued in TX
Practice address
2930 N Stanton St
El Paso, TX 79902-2511
Phone
(915) 271-4571
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1001569 TX Primary

Addresses

Primary practice location

2930 N Stanton St
El Paso, TX 79902-2511

Mailing address

616 Barcelona Dr
El Paso, TX 79905-5021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201211002094 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749692952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 877-8136

2930 N Stanton St
El Paso, TX 79902-2511
Phone (915) 271-4569

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1001569TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
El Paso County Hospital District CurrentSince Apr 10, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 1, 2020 Accepting new patients
El Paso County Hospital District CurrentSince Apr 10, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 1, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200

1300 Murchison Dr
Ste 200
El Paso, TX 79902
Phone (915) 225-7600

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

2930 N Stanton St
El Paso, TX 79902
Phone (915) 271-4569

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1427651611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BARCELONA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799055021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022511",
            "telephone_number": "915-271-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "FERNANDO",
        "middle_name": "ANTONIO",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1001569",
            "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 Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.