Organization Active NPI

Mt West Health Center PA

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1720098700
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MT WEST HEALTH CENTER PA
Practice address
6151 Dew Dr Ste 410
El Paso, TX 79912-3912
Phone
(915) 584-8124
Fax
(915) 584-8546
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Mr. Luis A Villalobos, M.S
Title
Executive Director
Phone
(915) 584-7920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6151 Dew Dr Ste 410
El Paso, TX 79912-3912

Mailing address

PO Box 13203
El Paso, TX 79913-3203
Phone (915) 217-2793

Other identifiers 1

IdentifierTypeStateIssuer
079714401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000265 TX Part B Supplier - Clinic/Group Practice 5698877314 Receives reassigned benefits from 6 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory
Tax ID family
Mt West Family Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3379 Wedgewood Dr
Ste A
El Paso, TX 79925
Phone (915) 225-8188

3551 Rich Beem
Ste C
El Paso, TX 79938
Phone (915) 298-3607

1860 Dean Martin Dr
Ste 104
El Paso, TX 79936
Phone (915) 855-7680

3379 Wedgewood Dr
Ste C
El Paso, TX 79925
Phone (915) 592-8500

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1720098700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799133203",
            "telephone_number": "915-217-2793",
            "fax_number": "915-584-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 DEW DR STE 410",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123912",
            "telephone_number": "915-584-8124",
            "fax_number": "915-584-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT WEST HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "915-584-7920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079714401",
            "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 Dec 2, 2024; 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.