Individual provider Active NPI

Estuardo Alfredo Mota, L.S.A.

  • Surgical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1164571956
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1111 Old Oyster TRL
Sugar Land, TX 77478-4537
Phone
(832) 646-6110
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

1111 Old Oyster TRL
Sugar Land, TX 77478-4537

Mailing address

1111 Old Oyster TRL
Sugar Land, TX 77478-4537
Phone (832) 637-7127

Other practice location 1

4501 Cartwright Rd
Suite 606
Missouri City, TX 77459-3541
Phone (281) 969-7137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
System Reloaded Consultant Group LLC Current Accepting new patients
Sapotal Consultants LLC Surgical Current Accepting new patients
Pascualarroyo Consultant Group Current Accepting new patients
Minivasive Pain Specialists,PLLC PastSince Mar 1, 2026 Accepting new patients

Organizations & group practices 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1164571956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 OLD OYSTER TRL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784537",
            "telephone_number": "832-637-7127",
            "fax_number": "713-583-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 OLD OYSTER TRL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784537",
            "telephone_number": "832-646-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Cartwright Rd",
            "address_2": "Suite 606",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774593541",
            "country_code": "US",
            "telephone_number": "281-969-7137",
            "fax_number": "281-969-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTA",
        "first_name": "ESTUARDO",
        "middle_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "L.S.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.