NPIMap

Organization Active NPI

Pediatric Health Centers of El Paso PA

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1508859729
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC HEALTH CENTERS OF EL PASO PA
Practice address
11026 Vista del Sol
El Paso, TX 79935
Phone
(915) 593-5444
NPI assigned
Aug 23, 2005
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Jagdish D Patel, MDNPI 1518959709
Title
President
Phone
(915) 593-5444

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

11026 Vista del Sol
El Paso, TX 79935

Mailing address

11026 Vista del Sol
El Paso, TX 79935

Other practice location 1

11040 Vista Del Sol Dr Ste C
El Paso, TX 79935-4316
Phone (915) 593-5444

Other practice location 2

3901 N Mesa St
El Paso, TX 79902-1501
Phone (915) 838-0100

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
45D0509883Pediatric Health Center of El Paso PA11026 Vista del Sol, El Paso, TX 79935Certificate of waiverJul 19, 2028
45D2304917Pediatric Health Center of El Paso PA11040 Vista del Sol Dr., El Paso, TX 79935Certificate of waiverMay 20, 2028
45D2330620Pediatric Health Center of El Paso PA3901 N. Mesa St Ste a, El Paso, TX 79902Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

11026 Vista del Sol Dr
El Paso, TX 79935
Phone (915) 593-5444

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1508859729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11026 VISTA DEL SOL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11026 VISTA DEL SOL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935",
            "telephone_number": "915-593-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11040 Vista Del Sol Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799354316",
            "country_code": "US",
            "telephone_number": "915-593-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799021501",
            "country_code": "US",
            "telephone_number": "915-838-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH CENTERS OF EL PASO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-593-5444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.