NPIMap

Organization Active NPI

Eastside Women's Healthcare Center, P.a.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1467404822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J2216 Issued in TX
Legal business name
EASTSIDE WOMEN'S HEALTHCARE CENTER, P.A.
Practice address
11040 Vista del Sol,
Ste. a
El Paso, TX 79935
Phone
(915) 591-4624
Fax
(915) 591-9291
NPI assigned
May 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Soledad Chacon
Title
Physicians' Office Manager
Phone
(915) 591-4624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J2216 TX Primary

Addresses

Primary practice location

11040 Vista del Sol,
Ste. a
El Paso, TX 79935

Mailing address

11040 Vista del Sol,
Ste. a
El Paso, TX 79935
Phone (915) 591-4624

National Provider Directory

National Provider Directory

Locations

11040 Vista del Sol Dr
Ste A
El Paso, TX 79935
Phone (915) 591-4624

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467404822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 VISTA DEL SOL,",
            "address_2": "STE. A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935",
            "telephone_number": "915-591-4624",
            "fax_number": "915-591-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 VISTA DEL SOL,",
            "address_2": "STE. A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935",
            "telephone_number": "915-591-4624",
            "fax_number": "915-591-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE WOMEN'S HEALTHCARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "SOLEDAD",
        "authorized_official_title_or_position": "PHYSICIANS' OFFICE MANAGER",
        "authorized_official_telephone_number": "915-591-4624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J2216",
            "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 Aug 22, 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.