Active NPI
El Paso Sleep Center PA
- Sleep Medicine (Internal Medicine) Physician
- El Paso, TX
National Provider Identifier
1669011714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- EL PASO SLEEP CENTER PA
- Practice address
- 4305 N Mesa St Ste B
El Paso, TX 79902-1124 - Phone
- (915) 779-7378
- Fax
- (915) 779-2822
- NPI assigned
- Jan 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gonzalo Diaz, MD
- Title
- Physician / Owner
- Phone
- (915) 779-7378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | Primary |
Addresses
Primary practice location
4305 N Mesa St Ste B
El Paso, TX 79902-1124
Mailing address
1016 Quinta Antigua LN
El Paso, TX 79912-2039
Phone (915) 779-7378
Other practice location 1
3030 Joe Battle Blvd
El Paso, TX 79938-2667
Phone (915) 779-7378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081351102 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578268800000",
"number": "1669011714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 QUINTA ANTIGUA LN",
"city": "EL PASO",
"state": "TX",
"postal_code": "799122039",
"telephone_number": "915-779-7378",
"fax_number": "915-779-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 N MESA ST STE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021124",
"telephone_number": "915-779-7378",
"fax_number": "915-779-2822"
}
],
"practiceLocations": [
{
"address_1": "3030 Joe Battle Blvd",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799382667",
"country_code": "US",
"telephone_number": "915-779-7378",
"fax_number": "915-779-2822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EL PASO SLEEP CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "GONZALO",
"authorized_official_title_or_position": "PHYSICIAN / OWNER",
"authorized_official_telephone_number": "915-779-7378",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081351102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- El Paso Rehabilitation Specialty Group
- El Paso Respiratory & Sleep Consultants, P.a.
- El Paso Rheumatology Association
- El Paso Rio Grande OB/GYN, PA
- El Paso Senior Care LLC
- El Paso Sleep Center, Inc.
- El Paso Sleep Disorder Center
- El Paso Sli Sign Language Interpreters LLC
- El Paso Smiles Center, PLLC
- El Paso Southwestern Cardiovascular Associates, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.