Active NPI
Gabriela C Ochoa, PEER SUPPORT WORKER
- Medical Physician Assistant
- Las Cruces, NM
National Provider Identifier
1558820043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2801 Missouri Ave Ste 38
Las Cruces, NM 88011-9151 - Phone
- (575) 636-2550
- Fax
- (575) 915-1644
- NPI assigned
- Mar 14, 2019
- Last updated
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary | ||
| Peer Specialist | 175T00000X | NM |
Addresses
Primary practice location
2801 Missouri Ave Ste 38
Las Cruces, NM 88011-9151
Mailing address
3465 McNutt Rd
Sunland Park, NM 88063-9056
Phone (575) 915-1338
Other practice location 1
3465 McNutt Rd
Sunland Park, NM 88063-9056
Phone (575) 915-1338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Family Services LLC | Peer Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1558820043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 MCNUTT RD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880639056",
"telephone_number": "575-915-1338",
"fax_number": "575-915-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 MISSOURI AVE STE 38",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119151",
"telephone_number": "575-636-2550",
"fax_number": "575-915-1644"
}
],
"practiceLocations": [
{
"address_1": "3465 McNutt Rd",
"address_purpose": "LOCATION",
"city": "Sunland Park",
"state": "NM",
"postal_code": "880639056",
"country_code": "US",
"telephone_number": "575-915-1338",
"fax_number": "575-915-1819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCHOA",
"first_name": "GABRIELA",
"middle_name": "C",
"credential": "PEER SUPPORT WORKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2021-06-24",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.