Cesar Orlando Banuelos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06426 Issued in TX

Practice address

1515 Pappas St
Laredo, TX 78041-1705

Phone

(956) 523-3683

Fax

(956) 718-6294

NPI assigned

Sep 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gateway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1720192792
  Medicare reassignment
• Gateway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1194298224
  NPD
• Gateway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1891660759
  NPD
• Gateway Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1255376976
  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1093022568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-523-3683",
            "fax_number": "956-718-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-523-3683",
            "fax_number": "956-718-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUELOS",
        "first_name": "CESAR",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA06426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ada Joella Ballesteros, LPC
• Marta Cristina Ballesteros, OTR
• Monica Banda
• Richard Cho Bang, M.D.
• Kathleen M. Bannon, N.P.
• Alberto Barajas, PA
• Jennifer Barash
• Christina Canales Barberena, AUDIOLOGIST
• Aileen Barcenas
• Raymond Arthur Barlow II, NP

• Physician Assistant in Laredo, TX
• Providers in Laredo, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.