Individual provider Active NPI

Javier Eduardo Martinez, PHYSICIAN ASSISTANT

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1578036802
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14444 Issued in TX
Practice address
121 E Redd Rd FL 2
El Paso, TX 79932-1981
Phone
(915) 584-4200
Fax
(915) 338-2457
NPI assigned
Jan 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14444 TX Primary

Addresses

Primary practice location

121 E Redd Rd FL 2
El Paso, TX 79932-1981

Mailing address

121 E Redd Rd FL 2
El Paso, TX 79932-1981
Phone (915) 584-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930002835 TX Practitioner - Physician Assistant 9931585718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Wellness Clinic, PA CurrentSince Sep 25, 2025 Accepting new patients
Upper Valley Urgent Care Center Current Accepting new patients
Good Night El Paso LLC PastSince Feb 15, 2025 Accepting new patients

Locations

121 E Redd Rd
Fl 2
El Paso, TX 79932
Phone (915) 584-4200

121 E Redd Rd
El Paso, TX 79932
Phone (915) 584-8822

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBFDDD/Endpoint/FBFDDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1578036802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E REDD RD FL 2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321981",
            "telephone_number": "915-584-4200",
            "fax_number": "915-338-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E REDD RD FL 2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321981",
            "telephone_number": "915-584-4200",
            "fax_number": "915-338-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JAVIER",
        "middle_name": "EDUARDO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.