Individual provider Active NPI

Ivan Garcia

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1649061458
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
963435 Issued in TX
Practice address
3570 Rich Beem Ste a
El Paso, TX 79938-4333
Phone
(915) 504-6900
Fax
(833) 606-0514
NPI assigned
May 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 963435 TX Primary

Addresses

Primary practice location

3570 Rich Beem Ste a
El Paso, TX 79938-4333

Mailing address

3570 Rich Beem Ste a
El Paso, TX 79938-4333
Phone (915) 504-6900

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
I20250820005325 TX Practitioner - Nurse Practitioner 7315447729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

124 W Castellano Dr
Suite 213
El Paso, TX 79912-6139

14954 Mike a Mendoza Ave
El Paso, TX 79938-2427

3570 Rich Beem
Suite a
El Paso, TX 79938-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
963435TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adolfo Benitez, MD, PA CurrentSince Aug 1, 2025 Accepting new patients

Locations

3570 Rich Beem
Ste A
El Paso, TX 79938
Phone (915) 504-6900

Interoperability endpoints

  • Direct secure messaging: ivan.armando.garcia.1@23020.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1649061458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 RICH BEEM STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384333",
            "telephone_number": "915-504-6900",
            "fax_number": "833-606-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 RICH BEEM STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384333",
            "telephone_number": "915-504-6900",
            "fax_number": "833-606-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "963435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.