Organization Active NPI

JK Sunvalley Healthcare & Associates, P.a.

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Benito, TX
National Provider Identifier
1114957669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
JK SUNVALLEY HEALTHCARE & ASSOCIATES, P.A.
Practice address
295 W Hwy 77, Suite B
San Benito, TX 78586
Phone
(956) 547-9552
Fax
(956) 574-9425
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Khadim Hussain, M.D.
Title
President
Phone
(956) 547-9552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

295 W Hwy 77, Suite B
San Benito, TX 78586

Mailing address

1413 Tamarack Dr
Brownsville, TX 78520-9251
Phone (956) 547-9552

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114957669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 TAMARACK DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209251",
            "telephone_number": "956-547-9552",
            "fax_number": "956-574-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W HWY 77, SUITE B",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "78586",
            "telephone_number": "956-547-9552",
            "fax_number": "956-574-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK SUNVALLEY HEALTHCARE & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "KHADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-547-9552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Benito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.