Organization Active NPI

Sun City Family Physicians, P.a.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1467572909
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1165 Issued in TX
Legal business name
SUN CITY FAMILY PHYSICIANS, P.A.
Practice address
1733 Curie Dr
Suite 105
El Paso, TX 79902-2910
Phone
(915) 533-7400
Fax
(915) 533-7415
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. Max Angel Peralta, M.D.NPI 1184694978
Title
President
Phone
(915) 533-7400

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L1165 TX Primary

Addresses

Primary practice location

1733 Curie Dr
Suite 105
El Paso, TX 79902-2910

Mailing address

1733 Curie Dr
Suite 105
El Paso, TX 79902-2910
Phone (915) 533-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100723000586 TX Part B Supplier - Clinic/Group Practice 7911039102 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1733 Curie Dr
Ste 105
El Paso, TX 79902
Phone (915) 533-7400

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1467572909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR",
            "address_2": "SUITE 105",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022910",
            "telephone_number": "915-533-7400",
            "fax_number": "915-533-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR",
            "address_2": "SUITE 105",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022910",
            "telephone_number": "915-533-7400",
            "fax_number": "915-533-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY FAMILY PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-533-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1165",
            "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 Mar 3, 2010; 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.