Individual provider Active NPI

Jose Luna Jr., M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1700877255
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6207 Issued in TX
Practice address
8061 Alameda Ave
El Paso, TX 79915-4705
Phone
(915) 859-7545
Fax
(915) 859-9862
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G6207 TX Primary

Addresses

Primary practice location

8061 Alameda Ave
El Paso, TX 79915-4705

Mailing address

8061 Alameda Ave
El Paso, TX 79915-4705
Phone (915) 859-7545

Other identifiers 6

IdentifierTypeStateIssuer
130880102MedicaidTX
1831267079OtherTXNPI-GROUP
130880107MedicaidTX
130880104MedicaidTX
130880105MedicaidTX
130880106MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000344 TX Practitioner - Family Practice 5890775654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centro San Vicente CurrentSince Apr 23, 2012 Accepting new patients
Centro San Vicente CurrentSince Apr 23, 2012 Accepting new patients
El Paso County Hospital District PastSince Jan 14, 2024 Accepting new patients

Locations

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

8061 Alameda Ave
El Paso, TX 79915
Phone (915) 859-7545

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centro San Vicente at Pebble HillsEl Paso, TX, CCN 741949 Federally qualified health center W-2 Managing Employee Jun 19, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1700877255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799154705",
            "telephone_number": "915-859-7545",
            "fax_number": "915-859-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8061 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799154705",
            "telephone_number": "915-859-7545",
            "fax_number": "915-859-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130880102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-GROUP",
            "identifier": "1831267079",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130880107",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130880104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130880105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130880106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.