Organization Active NPI

Southwest Allergy and Asthma Associates

  • Specialist
  • El Paso, TX
National Provider Identifier
1467563031
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J2994 Issued in TX
Legal business name
SOUTHWEST ALLERGY AND ASTHMA ASSOCIATES
Practice address
11410 Vista del Sol
Suite a
El Paso, TX 79936-5319
Phone
(915) 592-6269
Fax
(915) 592-8847
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Dr. Jose Venzor III, M.D.NPI 1447254784
Title
Owner
Phone
(915) 592-6269

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J2994 TX Primary

Addresses

Primary practice location

11410 Vista del Sol
Suite a
El Paso, TX 79936-5319

Mailing address

11410 Vista del Sol Dr
El Paso, TX 79936-5331
Phone (915) 592-6269

Other identifiers 1

IdentifierTypeStateIssuer
J2994OtherTXLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070604000288 TX Part B Supplier - Clinic/Group Practice 3173621901 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1064997Southwest Allergy & Asthma Associates11410 Vista de Sol Ste a, El Paso, TX 79936Certificate of waiverFeb 19, 2027

National Provider Directory

National Provider Directory

Locations

6301 Northern Pass Dr
Bldg 8
El Paso, TX 79911
Phone (915) 585-1920

6301 Northern Pass Dr
Ste 8A
El Paso, TX 79911

5020 N Desert Blvd
Bldg C1B
El Paso, TX 79912
Phone (915) 585-1920

11410 Vista del Sol Dr
El Paso, TX 79936
Phone (915) 592-6269

11410 Vista del Sol Dr
Ste A
El Paso, TX 79936
Phone (915) 592-6269

Practitioners & affiliated clinicians

Practitioners 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1467563031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 VISTA DEL SOL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365331",
            "telephone_number": "915-592-6269",
            "fax_number": "915-592-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 VISTA DEL SOL",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365319",
            "telephone_number": "915-592-6269",
            "fax_number": "915-592-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ALLERGY AND ASTHMA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "VENZOR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-592-6269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J2994",
            "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 Aug 11, 2022; 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.