Active NPI
PBC Medi Group LLC
- Private Vehicle
- El Paso, TX
National Provider Identifier
1518682467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- PBC MEDI GROUP LLC
- Practice address
- 121 Paragon LN Ste C
El Paso, TX 79912-6315 - Phone
- (915) 545-2525
- Fax
- (915) 544-0962
- NPI assigned
- Oct 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gilberto Enriquez
- Title
- Manager
- Phone
- (915) 269-9150
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | |||
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
121 Paragon LN Ste C
El Paso, TX 79912-6315
Mailing address
121 Paragon LN Ste C
El Paso, TX 79912-6315
Phone (915) 545-2525
National Provider Directory
National Provider DirectoryLocations
121 Paragon Ln
Ste C
El Paso, TX 79912
Phone (915) 545-2525
4855 N Mesa St
Ste 106
El Paso, TX 79912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1518682467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 PARAGON LN STE C",
"city": "EL PASO",
"state": "TX",
"postal_code": "799126315",
"telephone_number": "915-545-2525",
"fax_number": "915-544-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 PARAGON LN STE C",
"city": "EL PASO",
"state": "TX",
"postal_code": "799126315",
"telephone_number": "915-545-2525",
"fax_number": "915-544-0962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PBC MEDI GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-04",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "ENRIQUEZ",
"authorized_official_first_name": "GILBERTO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "915-269-9150"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.