Individual provider Active NPI

Jesus Lorenzo Lozano, M.D.

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1972501435
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J0889 Issued in TX
Practice address
1600 Medical Center Drive
Suite 410
El Paso, TX 79902-5002
Phone
(915) 532-1466
Fax
(915) 534-7914
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J0889 TX Primary

Addresses

Primary practice location

1600 Medical Center Drive
Suite 410
El Paso, TX 79902-5002

Mailing address

1600 Medical Center Drive
Suite 410
El Paso, TX 79902-5002
Phone (915) 532-1466

Other identifiers 3

IdentifierTypeStateIssuer
E2824MedicaidNM
120338201MedicaidTX
120338205MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923000128 TX Practitioner - Pediatric Medicine 6709116536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar la Fe, Inc Pediatrics CurrentSince May 3, 2019 Accepting new patients
Centro de Salud Familiar la Fe, Inc. CurrentSince May 3, 2019 Accepting new patients
Hillview Night Clinic PLLC Pediatrics Past Accepting new patients

Locations

1314 E Yandell Dr
El Paso, TX 79902

700 S Ochoa St
El Paso, TX 79901
Phone (915) 545-4550

721 S Ochoa St
El Paso, TX 79901
Phone (915) 545-7090

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1972501435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 410",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025002",
            "telephone_number": "915-532-1466",
            "fax_number": "915-534-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 410",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025002",
            "telephone_number": "915-532-1466",
            "fax_number": "915-534-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "JESUS",
        "middle_name": "LORENZO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J0889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E2824",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120338201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120338205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.