NPIMap

Organization Active NPI

Epmed, PA

Doing business as Las Cruces Primary Care Associates

  • General Practice Physician
  • Las Cruces, NM
National Provider Identifier
1649805037
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EPMED, PA
Doing business as
Las Cruces Primary Care Associates
Practice address
880 S Telshor Blvd Ste 201
Las Cruces, NM 88011-8682
Phone
(575) 395-7246
Fax
(575) 652-4607
NPI assigned
Mar 6, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Eduardo Genaro Vazquez, MDNPI 1225283211
Title
Ceo
Phone
(915) 598-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

880 S Telshor Blvd Ste 201
Las Cruces, NM 88011-8682

Mailing address

3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone (915) 598-7246

Other names 1

  • Las Cruces Primary Care Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160308000621 NM Part B Supplier - Clinic/Group Practice 9032269881 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Fe, NM; Roswell, NM; Rio Rancho, NM; Las Cruces, NM; Alamogordo, NM; Albuquerque, NM

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Epmed, PA

    dba El Paso Pain Center

    • Pain Medicine (Anesthesiology) Physician
    • El Paso, TX
    • NPI 1285861773

    O20160308000621

    Same enrollment

National Provider Directory

National Provider Directory

Locations

880 S Telshor Blvd
Ste 201
Las Cruces, NM 88011
Phone (575) 222-0037

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1649805037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S TELSHOR BLVD STE 201",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118682",
            "telephone_number": "575-395-7246",
            "fax_number": "575-652-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPMED, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "GENARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-598-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Cruces Primary Care Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Cruces Primary Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.