Active NPI
Jose Ivan Valenzuela, FNP-C
- Family Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137215 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Healthcare of Utah Inc | Family | Current | Accepting new patients |
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Central Health Plan of California, Inc. | Current | Accepting new patients | |
| Universal Care | Current | Accepting new patients | |
| Wellmed Medical Group, PA | Past | 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
- https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
-
- Family Nurse Practitioner
- Midvale, UT
- NPI 1619486396
-
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1376632877
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.