Active NPI
Nasa Casa de Ninos Pediatric Center, PA
- Pediatrics Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J5879
- Legal business name
- NASA CASA DE NINOS PEDIATRIC CENTER, PA
- Practice address
- 13630 Beamer Rd Ste 108
Houston, TX 77089 - Phone
- (281) 464-3780
- Fax
- (281) 464-3832
- NPI assigned
- Jun 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Idalia R Rivera-Matos, MD
- Title
- President
- Phone
- (281) 323-9724
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J5879 | TX | Primary |
Addresses
Primary practice location
13630 Beamer Rd Ste 108
Houston, TX 77089
Mailing address
13630 Beamer Rd Ste 108
Houston, TX 77089-6037
Phone (281) 464-3780
Other practice location 1
4014 Woodlawn Ave Ste A
Pasadena, TX 77504-1921
Phone (713) 239-0980
National Provider Directory
National Provider DirectoryLocations
13630 Beamer Rd
Ste 108
Houston, TX 77089
Phone (281) 464-3780
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Houston, TX
- NPI 1508936576
-
- Pediatric Nurse Practitioner
- Houston, TX
- NPI 1487242376
Single Specialty
-
- Pediatric Nurse Practitioner
- Conroe, TX
- NPI 1922778943
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1003465394
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1285142133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1023329117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13630 BEAMER RD STE 108",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896037",
"telephone_number": "281-464-3780",
"fax_number": "281-464-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13630 BEAMER RD STE 108",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77089",
"telephone_number": "281-464-3780",
"fax_number": "281-464-3832"
}
],
"practiceLocations": [
{
"address_1": "4014 Woodlawn Ave Ste A",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775041921",
"country_code": "US",
"telephone_number": "713-239-0980",
"fax_number": "832-831-8623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NASA CASA DE NINOS PEDIATRIC CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-23",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "RIVERA-MATOS",
"authorized_official_first_name": "IDALIA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-323-9724",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "J5879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.