NPIMap

Organization Active NPI

Juan Carlos de la Cerda

  • Other Technician
  • Lubbock, TX
National Provider Identifier
1033282629
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
25718 Issued in TX
Legal business name
JUAN CARLOS DE LA CERDA
Doing business as
SONO DIAGNOSTICS OF WEST TEXAS
Practice address
1902 50TH St
Lubbock, TX 79412-2706
Phone
(806) 771-1386
Fax
(806) 771-1388
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Juan Carlos De Le Cerda, RVT, RVS, RDCS, RCS
Title
Owner
Phone
(806) 791-5930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X 25718 TX Primary

Addresses

Primary practice location

1902 50TH St
Lubbock, TX 79412-2706

Mailing address

PO Box 54136
Lubbock, TX 79453-4136
Phone (806) 771-1386

Other identifiers 2

IdentifierTypeStateIssuer
0147DCOtherTXBLUE CROSS BLUE SHIELD
00MDXOOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • SONO DIAGNOSTICS OF WEST TEXAS Doing business as

National Provider Directory

National Provider Directory

Locations

1904 50th St
Lubbock, TX 79412

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1033282629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54136",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794534136",
            "telephone_number": "806-771-1386",
            "fax_number": "806-771-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122706",
            "telephone_number": "806-771-1386",
            "fax_number": "806-771-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CARLOS DE LA CERDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "DE LE CERDA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-791-5930",
        "authorized_official_credential": "RVT, RVS, RDCS, RCS"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "25718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0147DC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00MDXO",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONO DIAGNOSTICS OF WEST TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.