Omar Gonzalez, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K4440 Issued in TX

Legal business name

OMAR GONZALEZ, M.D., P.A.

Practice address

1715 Saul Kleinfield BLDG a
El Paso, TX 79936

Phone

(915) 222-8275

Fax

(915) 544-5696

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Omar Gonzalez, M.D.NPI 1780682260

Title

President

Phone

(915) 253-1757

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEFHDD
• FHIR API: https://api.platform.athenahealth.com/16146/brand/4/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Gonzalez, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1780682260
  Medicare reassignment NPD Authorized official
• Reyna Maria Braid, PAC

  • Medical Physician Assistant
  • El Paso, TX
  • NPI 1982893780
  Medicare reassignment

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1437196276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71449",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799171449",
            "telephone_number": "915-222-8275",
            "fax_number": "915-544-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SAUL KLEINFIELD BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-222-8275",
            "fax_number": "915-544-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR GONZALEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-253-1757",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150280902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olalekan Joseph Olowe
• Adebayo Oyekunle Olusanya, M.D
• Cindy Olvera, SLPA
• Destiny Renee Olvera, LMHC
• Stacy Ann Olvera, N.P.
• Asad Omar, MD
• Fahad Omar, MD
• Wassim Omari
• Omavida Care LLC
• Jackson Mosongo Ombaba, M.D.

• Internal Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.