Desert Mountain Obstetrics & Gynecology P a

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

J8177 Issued in TX

Legal business name

DESERT MOUNTAIN OBSTETRICS & GYNECOLOGY P A

Practice address

1201 E Schuster Ave Ste 5a
El Paso, TX 79902-4658

Phone

(915) 545-1200

Fax

(915) 545-1363

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia L Juarez

Title

Office Administrator

Phone

(915) 545-1200

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11541/brand/51/csg/661/fhir/r4

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1801018395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 5A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024658",
            "telephone_number": "915-545-1200",
            "fax_number": "915-545-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 5A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024658",
            "telephone_number": "915-545-1200",
            "fax_number": "915-545-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN OBSTETRICS & GYNECOLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "915-545-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "J8177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0027GW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS NM",
            "identifier": "L4056",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100208101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN SALUD",
            "identifier": "201012673",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaiah Matthew Desantos
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• Desert City Diagnostics LLC
• Desert Imaging Services L P
• Desert Mountain LLC (Caring Senior Service)
• Desert Pantheon LLC (Mission Trail Hospice)
• Desert Pass Surgical Center LLC
• Desert Pathology Services PLLC
• Desert Pathology Services, PA
• Desert Peak Physical Therapy PLLC

• Obstetrics Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Obstetrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.