Active NPI
El Paso Diabetes Association, Inc.
- Voluntary or Charitable Agency
- El Paso, TX
National Provider Identifier
1548580491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- EL PASO DIABETES ASSOCIATION, INC.
- Practice address
- 3641 Mattox St
El Paso, TX 79925-1307 - Phone
- (915) 532-6280
- Fax
- (915) 598-3732
- NPI assigned
- Jun 2, 2010
- Last updated
- Aug 7, 2023
- 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
- Ms. Sandra Gonzalez
- Title
- Executive Director
- Phone
- (915) 532-6280
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | TX | Primary | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | NU |
Addresses
Primary practice location
3641 Mattox St
El Paso, TX 79925-1307
Mailing address
3641 Mattox St
El Paso, TX 79925-1307
Phone (915) 532-6280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3641 Mattox St
El Paso, TX 79925
Phone (915) 532-6280
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Metabolic Nutrition Registered Dietitian
- El Paso, TX
- NPI 1851977250
Nutrition, Metabolic
-
- Registered Dietitian
- El Paso, TX
- NPI 1326783267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1548580491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3641 MATTOX ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251307",
"telephone_number": "915-532-6280",
"fax_number": "915-598-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3641 MATTOX ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251307",
"telephone_number": "915-532-6280",
"fax_number": "915-598-3732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL PASO DIABETES ASSOCIATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-02",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "915-532-6280",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- El Paso del Norte Home Health Agency, Inc. (El Paso Home Health)
- El Paso del Norte Surgical Group, PA (Rio Grande Surgeons, PA)
- El Paso del Norte Urologists, PA
- El Paso Dental Care
- El Paso Dental Care PLLC
- El Paso Diagnostic Imaging CT LTD
- El Paso Doctors of Chiropractiic, Inc
- El Paso Ear Nose & Throat Associates
- El Paso Electrophysiology, P.a.
- El Paso Emergency Medicine Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.