Organization Active NPI

Javier Vazquez Ortiz M.D., PLLC

  • Adult Medicine Physician
  • Victoria, TX
National Provider Identifier
1003596818
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
JAVIER VAZQUEZ ORTIZ M.D., PLLC
Practice address
2705 Hospital Dr Ste 202
Victoria, TX 77901-5776
Phone
(361) 220-7016
Fax
(361) 894-6373
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Dr. Javier Migdoel Vazquezortiz, MDNPI 1770999377
Title
Family Physician
Phone
(361) 220-7016

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
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

2705 Hospital Dr Ste 202
Victoria, TX 77901-5776

Mailing address

2705 Hospital Dr Ste 202
Victoria, TX 77901-5776
Phone (361) 220-7016

Other names 1

  • Javier Vazquez Ortiz M.D., PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231004000084 TX Part B Supplier - Clinic/Group Practice 1254785603 Receives reassigned benefits from 1 practitioner
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1003596818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 HOSPITAL DR STE 202",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015776",
            "telephone_number": "361-220-7016",
            "fax_number": "361-894-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 HOSPITAL DR STE 202",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015776",
            "telephone_number": "361-220-7016",
            "fax_number": "361-894-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER VAZQUEZ ORTIZ M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZORTIZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "MIGDOEL",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "361-220-7016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Javier Vazquez Ortiz M.D., PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.