Organization Active NPI

El Paso Sleep Center PA

  • Sleep Medicine (Internal Medicine) Physician
  • El Paso, TX
National Provider Identifier
1669011714
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
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

Updated by the provider on Jan 6, 2020

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)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
081351102MedicaidTX

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.