Organization Active NPI

RJB Clinica Familiar, PLLC

Doing business as Su Clinica Familiar

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1205384138
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RJB CLINICA FAMILIAR, PLLC
Doing business as
Su Clinica Familiar
Practice address
315 N Shiloh Rd Ste 102
Garland, TX 75042-5783
Phone
(469) 688-8523
Fax
(469) 458-9121
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Jacqueline Balarbar, FNPNPI 1639418239
Title
President
Phone
(469) 688-8523

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

315 N Shiloh Rd Ste 102
Garland, TX 75042-5783

Mailing address

7417 Sugarbush Dr
Garland, TX 75044-2633
Phone (469) 688-8523

Other names 1

  • Su Clinica Familiar Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161110000480 TX Part B Supplier - Clinic/Group Practice 5890074066 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, 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
45D2123024Su Clinica Familiar315 N Shiloh Rd Suite 103, Garland, TX 75042Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

410 N Shiloh Rd
Ste 102
Garland, TX 75042
Phone (214) 718-8671

315 N Shiloh Rd
Ste 103
Garland, TX 75042
Phone (972) 205-0440

315 N Shiloh Rd
Ste 102
Garland, TX 75042
Phone (469) 688-8523

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1205384138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 SUGARBUSH DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442633",
            "telephone_number": "469-688-8523",
            "fax_number": "469-458-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SHILOH RD STE 102",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425783",
            "telephone_number": "469-688-8523",
            "fax_number": "469-458-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJB CLINICA FAMILIAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "BALARBAR",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-688-8523",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Su Clinica Familiar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Su Clinica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.