Griselda P Oaxaca

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

5380 N Mesa St Ste 108
El Paso, TX 79912-5869

Phone

(915) 613-3989

Fax

(915) 503-2737

NPI assigned

Apr 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Provencio Enterprises Incorporated

  • Clinic/Center
  • El Paso, TX
  • NPI 1790260107

  Single Specialty

  NPD (past) Authorized official
• Provencio Enterprises Incorporated

  • Student in an Organized Health Care Education/Training Program
  • El Paso, TX
  • NPI 1992205298

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1578051256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 N MESA ST STE 108",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125869",
            "telephone_number": "915-613-3989",
            "fax_number": "915-503-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 N MESA ST STE 108",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125869",
            "telephone_number": "915-613-3989",
            "fax_number": "915-503-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAXACA",
        "first_name": "GRISELDA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Lynn O'Neal, CRNA
• Jillian Ida O'Neill, MD
• Thomas Joseph O'Neill, M.D.
• Oasis Foster Home
• Arturo Oaxaca, M.A.
• Pedro Oaxaca, M.A.
• Omobolanle Ayodele Obajeun
• Rita Rubi Obdalla
• Simi Charity Obe
• Emmanuel Chuks Obi Sr., RPH

• Developmental Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Developmental Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.