Mi Clinica Medica Bellaire, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MI CLINICA MEDICA BELLAIRE, PLLC

Practice address

5901 Bellaire Blvd Ste 104
Houston, TX 77081-5515

Phone

(832) 638-5975

NPI assigned

Jan 8, 2021

Last updated

Mar 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yaimara Gonzalez Pantoja, FNPNPI 1679062152

Title

Owner

Phone

(832) 638-5975

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Yaimara Gonzalez Pantoja, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1679062152
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1023606779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BELLAIRE BLVD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815515",
            "telephone_number": "832-834-4688",
            "fax_number": "832-834-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BELLAIRE BLVD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815515",
            "telephone_number": "832-638-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CLINICA MEDICA BELLAIRE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ PANTOJA",
        "authorized_official_first_name": "YAIMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-638-5975",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaa Mhsen, PMHNP
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• Mi Casa Dental
• Mi Clinica Bellaire, PLLC
• Mi Familia Dental PLLC
• Mi Farmacia
• Mi Pueblo Health Care Solutions Inc
• Mi Sonrisa Dental PLLC
• Mia Family Dental PLLC

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.