Javier Medina MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAVIER MEDINA MD PA

Practice address

1924 E Griffin Parkway
Mission, TX 78572-3106

Phone

(956) 581-5100

Fax

(956) 581-8608

NPI assigned

Sep 28, 2006

Last updated

Jul 9, 2015By 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

Mrs. Adalia Saenz

Title

Billing Specialist

Phone

(956) 581-5100

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Javier Medina, MD

  • Family Medicine Physician
  • Mission, TX
  • NPI 1104848514

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1043302334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5909",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785025909",
            "telephone_number": "956-581-5100",
            "fax_number": "956-581-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 E GRIFFIN PARKWAY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723106",
            "telephone_number": "956-581-5100",
            "fax_number": "956-581-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER MEDINA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "ADALIA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "956-581-5100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7088",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189269702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111655001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189269701",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Subramaniam Jagadeesan, MD
• Numan Jahangir, M.D.
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• Jason C Longoria PLLC (Sharyland Chiropractic Center)
• Naila Jasso, DPC, LPC-S
• Jeselle a Mathews, Mdpa (Womens Diagnostic Center)
• Mariano Jimenez, LPC
• Richard Jimenez, CRNA
• Jja Management, LLC (Santo Salvador Hospice)
• JN New Life Care Services Corp.

• Family Medicine Physician in Mission, TX
• Providers in Mission, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.