Organization Active NPI

C Care Cardiovascular Center

  • Cardiovascular Disease Physician
  • El Paso, TX
National Provider Identifier
1790333516
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
C CARE CARDIOVASCULAR CENTER
Practice address
1351 N Zaragoza Rd BLDG L
El Paso, TX 79936-7902
Phone
(915) 500-4420
NPI assigned
Aug 27, 2019
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Enoch Agunanne, MDNPI 1679576565
Title
Owner
Phone
(915) 500-4420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1351 N Zaragoza Rd BLDG L
El Paso, TX 79936-7902

Mailing address

1605 George Dieter Dr Ste 636
El Paso, TX 79936-5600
Phone (915) 671-1371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191101000435 TX Part B Supplier - Clinic/Group Practice 0143552679 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1351 N Zaragoza Rd
Bldg 1
El Paso, TX 79936

1351 N Zaragoza Rd
Bldg L
El Paso, TX 79936
Phone (915) 500-4420

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1790333516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 636",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365600",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 N ZARAGOZA RD BLDG L",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367902",
            "telephone_number": "915-500-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C CARE CARDIOVASCULAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "AGUNANNE",
        "authorized_official_first_name": "ENOCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-500-4420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 13, 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.