NPIMap

Organization Active NPI

Divyatish Primary Care Health Services

  • Internal Medicine Physician
  • Victoria, TX
National Provider Identifier
1104093913
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8086 Issued in TX
Legal business name
DIVYATISH PRIMARY CARE HEALTH SERVICES
Practice address
601 E San Antonio St Ste 304W
Victoria, TX 77901-6040
Phone
(361) 576-3680
Fax
(361) 576-4219
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Arun Jain, MDNPI 1235246752
Title
Owner
Phone
(361) 576-3680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L8086 TX Primary

Addresses

Primary practice location

601 E San Antonio St Ste 304W
Victoria, TX 77901-6040

Mailing address

PO Box 3685
Victoria, TX 77903-3685
Phone (361) 576-3680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1104093913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3685",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033685",
            "telephone_number": "361-576-3680",
            "fax_number": "361-576-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST STE 304W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016040",
            "telephone_number": "361-576-3680",
            "fax_number": "361-576-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVYATISH PRIMARY CARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-576-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.