Borderland Medica, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L8460 Issued in TX

Legal business name

BORDERLAND MEDICA, P.A.

Practice address

1171 Larry Mahan Dr
El Paso, TX 79925-6509

Phone

(915) 532-1197

Fax

(915) 532-1198

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Alonso Gandara

Title

Manager

Phone

(915) 532-1197

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvette Marie Luna- Bowen, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1497206643
  Medicare reassignment NPD
• Dinorah Janet Nutis, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1912934928
  Medicare reassignment NPD
• Christine Y. Sambrano, DNP, FNP-C, APRN

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1518432533
  NPD

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1578833109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 LARRY MAHAN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256509",
            "telephone_number": "915-532-1197",
            "fax_number": "915-532-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 LARRY MAHAN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256509",
            "telephone_number": "915-532-1197",
            "fax_number": "915-532-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDERLAND MEDICA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "GANDARA",
        "authorized_official_first_name": "ALONSO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-532-1197"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "L8460",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Border Radiology Consultants PC
• Border Therapy Services LLC
• Border Therapy Services LLC (Border Therapy Services)
• Borderland Bloodwork LLC
• Borderland Health Services
• Borderland Primary Care, PA
• Borderland Rainbow Center
• Ulla K Boren, O.T.R.
• Josephine Borges Colon
• Jorge C Borges, MD

• Internal Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.