Organization Active NPI

Desert Pass Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • El Paso, TX
National Provider Identifier
1881404994
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DESERT PASS SURGICAL CENTER LLC
Practice address
210 Desert Pass BLDG. a
Ste. B
El Paso, TX 79912
Phone
(915) 313-4443
NPI assigned
Jan 10, 2025
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Raul J Lopez, MDNPI 1871859587
Title
Owner / President
Phone
(915) 313-4443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

210 Desert Pass BLDG. a
Ste. B
El Paso, TX 79912

Mailing address

PO Box 79
El Paso, TX 79941-0139
Phone (915) 313-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610001056 TX Part B Supplier - Ambulatory Surgical Center 0446760482 Practice locations: El Paso, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881404994. Details of each certification follow.

Ambulatory surgical center certification: CCN 45C0451334

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DESERT PASS SURGICAL CENTER, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Apr 27, 2026
Last certification
Apr 21, 2026
Facility address
210 Desert Pass, BLDG a Suite B
El Paso, TX 79912

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2317317Desert Pass Surgical Center LLC210 Desert Pass, BLDG. a, Ste B, El Paso, TX 79912Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Locations

210 Desert Pass St
Ste B
El Paso, TX 79912
Phone (915) 313-4443

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1881404994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799410139",
            "telephone_number": "915-313-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 DESERT PASS BLDG. A",
            "address_2": "STE. B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-313-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PASS SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "915-313-4443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.