Organization Active NPI

Y Javier Caballero MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1871793547
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8938 Issued in TX
Legal business name
Y JAVIER CABALLERO MD
Practice address
7005 Rock Canyon Dr
El Paso, TX 79912-7656
Phone
(915) 587-9006
Fax
(915) 587-9007
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Sukie Caballero
Title
Manager
Phone
(915) 587-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J8938 TX Primary

Addresses

Primary practice location

7005 Rock Canyon Dr
El Paso, TX 79912-7656

Mailing address

PO Box 13730
El Paso, TX 79913-3730
Phone (915) 587-9006

Other identifiers 2

IdentifierTypeStateIssuer
1001954301MedicaidTX
0003MHOtherBC/BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1871793547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13730",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799133730",
            "telephone_number": "915-587-9006",
            "fax_number": "915-587-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 ROCK CANYON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127656",
            "telephone_number": "915-587-9006",
            "fax_number": "915-587-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y JAVIER CABALLERO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "SUKIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-587-9006"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001954301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0003MH",
            "state": null
        }
    ],
    "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 Jul 20, 2007; 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.