Individual provider Active NPI

Cesar H Faz, M.D.

  • Pediatrics Physician
  • Del Rio, TX
National Provider Identifier
1215007224
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L9038 Issued in TX
Practice address
109 W Martin St
Del Rio, TX 78840-5501
Phone
(830) 778-5439
Fax
(830) 778-5400
NPI assigned
Nov 8, 2006
Last updated
Jul 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L9038 TX Primary

Addresses

Primary practice location

109 W Martin St
Del Rio, TX 78840-5501

Mailing address

109 W Martin St
Del Rio, TX 78840-5501
Phone (830) 778-5439

Other identifiers 3

IdentifierTypeStateIssuer
166733902MedicaidTX
166733901MedicaidTX
8P6044OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121214000124 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3577527027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frontera Pediatrics PA Pediatrics PastSince Jul 6, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1215007224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MARTIN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405501",
            "telephone_number": "830-778-5439",
            "fax_number": "830-778-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MARTIN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405501",
            "telephone_number": "830-778-5439",
            "fax_number": "830-778-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZ",
        "first_name": "CESAR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166733902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166733901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P6044",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.