NPIMap

Organization Active NPI

El Paso Sleep Disorder Center

  • Sleep Medicine (Internal Medicine) Physician
  • El Paso, TX
National Provider Identifier
1467097683
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
EL PASO SLEEP DISORDER CENTER
Practice address
3030 Joe Battle Blvd
El Paso, TX 79938-2667
Phone
(915) 779-7378
Fax
(915) 779-2822
NPI assigned
Nov 12, 2019
Organization subpart
Yes
Parent organization
GONZALO DIAZ,MD DBA/ EL PASO SLEEP DISORDERS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Gonzalo Diaz, MDNPI 1134129240
Title
Owner
Phone
(915) 471-8218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

3030 Joe Battle Blvd
El Paso, TX 79938-2667

Mailing address

1016 Quinta Antigua LN
El Paso, TX 79912-2039
Phone (915) 779-3778

Other identifiers 1

IdentifierTypeStateIssuer
081351102MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
El Paso Sleep Disorder Center10 organizations share this tax ID, including this one
Part of
El Paso Sleep Disorder Center

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1467097683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 QUINTA ANTIGUA LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122039",
            "telephone_number": "915-779-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382667",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO SLEEP DISORDER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GONZALO DIAZ,MD DBA/ EL PASO SLEEP DISORDERS CENTER",
        "enumeration_date": "2019-11-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-471-8218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081351102",
            "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 Jan 23, 2020; 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.