NPIMap

Organization Active NPI

Centro de Salud Familiar la Fe, Inc.

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
National Provider Identifier
1669506952
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRO DE SALUD FAMILIAR LA FE, INC.
Practice address
815 E Yandell Dr
El Paso, TX 79902-5331
Phone
(915) 351-1557
Fax
(915) 351-1642
NPI assigned
Mar 16, 2007
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Lucy Rodarte
Title
Cfo
Phone
(915) 534-7979

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 193200000X TX
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Family Medicine Physician 207Q00000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

815 E Yandell Dr
El Paso, TX 79902-5331

Mailing address

1314 E Yandell Dr
El Paso, TX 79902-5529
Phone (915) 534-7979

Other identifiers 1

IdentifierTypeStateIssuer
136357405MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address norma.barron@lafe-ep.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050125000164 TX Part B Supplier - Clinic/Group Practice 7315937448 Receives reassigned benefits from 42 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: El Paso, TX
O20240116004623 TX Part A Provider - Federally Qualified Health Center (FQHC) 7315937448 Practice locations: El Paso, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669506952. Details of each certification follow.

Federally qualified health center certification: CCN 741115

Legal name
CENTRO DE SALUD FAMILIAR LA FE, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 8, 2024
Last certification
Jan 8, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
815 E Yandell Dr
El Paso, TX 79902-5331

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Familiar la8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 W Hague Rd
Ste 390
El Paso, TX 79902

1505 Mescalero Dr
El Paso, TX 79925
Phone (915) 772-3366

200 Lisbon St
El Paso, TX 79905
Phone (915) 630-5145

721 S Ochoa St
El Paso, TX 79901
Phone (915) 545-7090

823 E Yandell Dr
El Paso, TX 79902
Phone (915) 545-7205

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Guadalupe Perez Individual Corporate Director Feb 1, 2011
Joanne K Nugent Individual Corporate Director Mar 29, 2012
Efren Fernandez Individual Corporate Director Jun 1, 2009
Robert Gonzales Individual Corporate Officer Oct 1, 2001
W-2 Managing Employee Aug 25, 2008
Lucy a Lara Individual Corporate Director Oct 1, 2009
Sofia Cazares Individual Corporate Director Nov 20, 2021
Maria Nevarez Individual Corporate Director Jan 1, 2023
Adrian Frias Individual Corporate Director Jan 20, 2022
Ricardo Arguelles Individual Corporate Director Jun 19, 2014
Juan Alderete Individual Corporate Director May 28, 2015

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1669506952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025529",
            "telephone_number": "915-534-7979",
            "fax_number": "915-534-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025331",
            "telephone_number": "915-351-1557",
            "fax_number": "915-351-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SALUD FAMILIAR LA FE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "RODARTE",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "915-534-7979"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "193200000X",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136357405",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "norma.barron@lafe-ep.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1314 E Yandell Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799025529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.