Individual provider Active NPI

Jose Ivan Valenzuela, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1912400599
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137215 Issued in TX
Practice address
2270 Joe Battle Blvd Ste M
El Paso, TX 79938-2610
Phone
(915) 855-7000
Fax
(915) 855-7007
NPI assigned
Mar 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137215 TX Primary

Addresses

Primary practice location

2270 Joe Battle Blvd Ste M
El Paso, TX 79938-2610

Mailing address

2270 Joe Battle Blvd Ste M
El Paso, TX 79938-2610
Phone (915) 855-7000

Other practice location 1

2270 Joe Battle Blvd Ste M-N
El Paso, TX 79938-2609
Phone (915) 855-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT, NM, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180515001679 TX Practitioner - Nurse Practitioner 0042574246 Reassigns benefits to 1 organization
I20220407000637 UT Practitioner - Nurse Practitioner 0042574246 Reassigns benefits to 1 organization
I20221006002764 NM Practitioner - Nurse Practitioner 0042574246 Reassigns benefits to 1 organization
I20231228003183 CA Practitioner - Nurse Practitioner 0042574246 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP137215TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Utah Inc Family CurrentSince Mar 23, 2022 Accepting new patients
Molina Care Connections, LLC. CurrentSince Mar 8, 2021 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Universal Care CurrentSince Nov 1, 2024 Accepting new patients
Wellmed Medical Group, PA PastSince Jun 3, 2019 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

400 Tijeras Ave NW
Ste 200
Albuquerque, NM 87102

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

Interoperability endpoints

  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jvalenzuela12367@direct-prd.molinahealthcare.com

Organizations & group practices 6

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": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1912400599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE M",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382610",
            "telephone_number": "915-855-7000",
            "fax_number": "915-855-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE M",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382610",
            "telephone_number": "915-855-7000",
            "fax_number": "915-855-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 Joe Battle Blvd Ste M-N",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382609",
            "country_code": "US",
            "telephone_number": "915-855-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "JOSE",
        "middle_name": "IVAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.