Organization Active NPI

Pediamed Night Clinic LLC

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1861701419
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIAMED NIGHT CLINIC LLC
Practice address
2931 George Dieter Dr
Suite F
El Paso, TX 79936-2941
Phone
(915) 227-0137
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Guillermo Acosta
Title
President
Phone
(915) 227-0137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2931 George Dieter Dr
Suite F
El Paso, TX 79936-2941

Mailing address

2931 George Dieter
Suite F
El Paso, TX 79936-2942

National Provider Directory

National Provider Directory

Locations

2931 George Dieter Dr
Ste F
El Paso, TX 79936
Phone (915) 227-0137

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1861701419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 GEORGE DIETER",
            "address_2": "SUITE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 GEORGE DIETER DR",
            "address_2": "SUITE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362941",
            "telephone_number": "915-227-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIAMED NIGHT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-227-0137"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "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 Sep 30, 2010; 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.