Individual provider Active NPI

Fernando Doval Perez, DO

  • Child & Adolescent Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1841854007
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
U0331 Issued in TX
Practice address
800 N Mesa St
El Paso, TX 79902-3976
Phone
(915) 215-6170
Fax
(915) 215-8659
NPI assigned
Apr 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10069149 TX
Child & Adolescent Psychiatry Physician 2084P0804X U0331 TX Primary

Addresses

Primary practice location

800 N Mesa St
El Paso, TX 79902-3976

Mailing address

4801 Alberta Ave
El Paso, TX 79905-2707

Other practice location 1

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-8000

Other practice location 2

4615 Alameda Ave
El Paso, TX 79905-2702
Phone (915) 215-5850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625004380 TX Practitioner - Psychiatry 1658815162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Nova Southeastern College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 N Mesa St
El Paso, TX 79902-3976
Phone (915) 215-6170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10069149TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso Child & Adolescent Psychiatry CurrentSince Aug 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2024 Accepting new patients
El Paso Child Guidance Center Inc CurrentSince Aug 1, 2024 Accepting new patients
El Paso Child Guidance Center Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4615 Alameda Ave
El Paso, TX 79905
Phone (432) 268-7247

800 N Mesa St
El Paso, TX 79902
Phone (915) 215-4118

2701 E Yandell Dr
El Paso, TX 79903
Phone (915) 562-1999

2211 E Missouri Ave
Ste 310
El Paso, TX 79903
Phone (915) 562-1999

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/
  • Direct secure messaging: fernando.dovalperez@direct.myhealthep.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1841854007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023976",
            "telephone_number": "915-215-6170",
            "fax_number": "915-215-8659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4615 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052702",
            "country_code": "US",
            "telephone_number": "915-215-5850",
            "fax_number": "915-215-8657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVAL PEREZ",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10069149",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "U0331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.