Organization Active NPI

Horizon City Pediatrics PA

  • Pediatrics Physician
  • Horizon, TX
National Provider Identifier
1053574541
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HORIZON CITY PEDIATRICS PA
Practice address
14505 Horizon Blvd
Horizon, TX 79928-8564
Phone
(915) 852-4089
Fax
(915) 852-2031
NPI assigned
Jul 6, 2008
Last updated
Mar 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Rodin Mendoza, M.D.
Title
President
Phone
(915) 852-4089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

14505 Horizon Blvd
Horizon, TX 79928-8564

Mailing address

14505 Horizon Blvd
Horizon, TX 79928-8564
Phone (915) 852-4089

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1094229Horizon City Pediatrics, PA14505 Horizon Blvd, Horizon City, TX 79928Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1053574541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 HORIZON BLVD",
            "city": "HORIZON",
            "state": "TX",
            "postal_code": "799288564",
            "telephone_number": "915-852-4089",
            "fax_number": "915-852-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 HORIZON BLVD",
            "city": "HORIZON",
            "state": "TX",
            "postal_code": "799288564",
            "telephone_number": "915-852-4089",
            "fax_number": "915-852-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON CITY PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-06",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "RODIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-852-4089",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.