Healthcare Provider Details

I. General information

NPI: 1063201812
Provider Name (Legal Business Name): SAMSARA COMMUNITY HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6090 SURETY DR STE 401C
EL PASO TX
79905-2060
US

IV. Provider business mailing address

6090 SURETY DR STE 401C
EL PASO TX
79905-2060
US

V. Phone/Fax

Practice location:
  • Phone: 915-979-7402
  • Fax: 915-300-1947
Mailing address:
  • Phone: 915-979-7402
  • Fax: 915-300-1947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: IVONNE ESPINOSA
Title or Position: PROVIDER
Credential: PMHNP
Phone: 915-979-7402