NPIMap

Organization Active NPI

Blue Zone Health Medical - Katy, PLLC

  • Clinic/Center
  • Katy, TX
National Provider Identifier
1144880592
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLUE ZONE HEALTH MEDICAL - KATY, PLLC
Practice address
21660 Kingsland Blvd # 200
Katy, TX 77450-2511
Phone
(713) 493-7777
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Hamid R Jalali, DO
Title
Owner
Phone
(409) 745-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

21660 Kingsland Blvd # 200
Katy, TX 77450-2511

Mailing address

701 N Post Oak Rd Ste 512
Houston, TX 77024-3962

Other names 1

  • BluVida Precision Health & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

701 N Post Oak Rd
Ste 512
Houston, TX 77024

21660 Kingsland Blvd
Ste 200
Katy, TX 77450
Phone (713) 493-7777

Practitioners & affiliated clinicians

Practitioners 4

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": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1144880592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N POST OAK RD STE 512",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 KINGSLAND BLVD # 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502511",
            "telephone_number": "713-493-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ZONE HEALTH MEDICAL - KATY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "JALALI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-745-4421",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BluVida Precision Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.