Active NPI
Alejandro Montelongo, PA-C
- Physician Assistant
- El Paso, TX
National Provider Identifier
1780611004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04532
- Practice address
- 7430 Remcon Cir
BLDG a
El Paso, TX 79912-3514 - Phone
- (915) 581-0357
- Fax
- (915) 584-8313
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04532 | TX | Primary |
Addresses
Primary practice location
7430 Remcon Cir
BLDG a
El Paso, TX 79912-3514
Mailing address
7430 Remcon Cir
BLDG a
El Paso, TX 79912-3514
Phone (915) 581-0357
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N8765 | Other | TX | BCBS OF TEXAS |
| TXB164180 | Other | WELLMED MEDICAL GROUP PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04532 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1780611004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430 REMCON CIR",
"address_2": "BLDG A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123514",
"telephone_number": "915-581-0357",
"fax_number": "915-584-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 REMCON CIR",
"address_2": "BLDG A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123514",
"telephone_number": "915-581-0357",
"fax_number": "915-584-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTELONGO",
"first_name": "ALEJANDRO",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8N8765",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED MEDICAL GROUP PA",
"identifier": "TXB164180",
"state": null
}
],
"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 Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.