San Jose Moscati Medical Home

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAN JOSE MOSCATI MEDICAL HOME

Practice address

1200 Golden Key Cir Ste 230
El Paso, TX 79925-5834

Phone

(915) 642-9220

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Martha Manquero Butler, MD

Title

Organizer

Phone

(915) 342-6003

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bricia Elena Trevino, FNP

  • Nurse Practitioner
  • El Paso, TX
  • NPI 1508460908
  NPD (past)

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1801420104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GOLDEN KEY CIR STE 230",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255834",
            "telephone_number": "915-642-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GOLDEN KEY CIR STE 230",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255834",
            "telephone_number": "915-642-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE MOSCATI MEDICAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "MANQUERO BUTLER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "915-342-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samsara Healthcare PLLC
• Kara Samsel, MD
• Samuel F. Romero Ramos, MD PA
• Timothy Samuelson
• San Antonio in Home Health Care
• Sandra San Jose, CCC-SLP
• Jesse Angelica Quitalig San Juan, M.D.
• San Lorenzo Adult Provider Services and Pediatrics LLC
• San Lorenzo Durable Medical Equipment LLC
• San Mateo Personal Assistance Services

• Family Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.