Organization Active NPI

Generation Medical Clinic, LLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1184052797
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
P7822 Issued in TX
Legal business name
GENERATION MEDICAL CLINIC, LLC
Practice address
11322 Bellaire Blvd # 17
Houston, TX 77072-5700
Phone
(281) 935-2947
Fax
(281) 605-5797
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Steven Xuan Nguyen, M.D.NPI 1255594180
Title
Manager
Phone
(714) 234-9216

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
Clinic/Center 261Q00000X P7822 TX Primary

Addresses

Primary practice location

11322 Bellaire Blvd # 17
Houston, TX 77072-5700

Mailing address

11322 Bellaire Blvd # 17
Houston, TX 77072-5700
Phone (281) 935-2947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131209001199 TX Part B Supplier - Clinic/Group Practice 7719114263 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2091281Generation Medical Clinic11322 Bellaire Blvd Ste 117, Houston, TX 77072Provider-performed microscopyFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

11322 Bellaire Blvd
#17
Houston, TX 77072
Phone (281) 935-2947

6112 Bellaire Blvd
Ste F
Houston, TX 77081
Phone (713) 270-0700

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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1184052797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11322 BELLAIRE BLVD # 17",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725700",
            "telephone_number": "281-935-2947",
            "fax_number": "281-605-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11322 BELLAIRE BLVD # 17",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725700",
            "telephone_number": "281-935-2947",
            "fax_number": "281-605-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-234-9216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "P7822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.