Individual provider Active NPI

Juan Pacheco Garcia, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1063443661
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4340 Issued in TX
Practice address
11511 Veterans Memorial Drive
Suite 200
Houston, TX 77067-2603
Phone
(281) 583-0806
Fax
(206) 666-3965
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H4340 TX Primary

Addresses

Primary practice location

11511 Veterans Memorial Drive
Suite 200
Houston, TX 77067-2603

Mailing address

PO Box 1626
Cypress, TX 77410-1626
Phone (281) 788-6526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000592 TX Practitioner - Family Practice 0941215305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H4340TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ondemand Healthcare, PLLC Family Medicine CurrentSince Nov 15, 2020 Accepting new patients
Juan P. Garcia, M.D., P.a. Family Medicine Current Accepting new patients
C H Wilkinson Physician Network Family Medicine Past Accepting new patients

Locations

2200 Post Oak Blvd
Ste 1000
Houston, TX 77056
Phone (832) 990-0549

1315 St Joseph Pkwy
Ste 1400
Houston, TX 77002
Phone (281) 727-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1063443661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1626",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774101626",
            "telephone_number": "281-788-6526",
            "fax_number": "281-888-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 VETERANS MEMORIAL DRIVE",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672603",
            "telephone_number": "281-583-0806",
            "fax_number": "206-666-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JUAN",
        "middle_name": "PACHECO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.