Individual provider Active NPI

Olga Lucia Gomez Moreno, M.D.

  • Pediatrics Physician
  • Weslaco, TX
National Provider Identifier
1225239502
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N0052 Issued in TX
Practice address
910 E 8TH St Ste 3
Weslaco, TX 78596-4675
Phone
(956) 969-1313
Fax
(956) 969-1322
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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 N0052 TX Primary

Addresses

Primary practice location

910 E 8TH St Ste 3
Weslaco, TX 78596-4675

Mailing address

5111 N 10TH St # 230
McAllen, TX 78504-2835
Phone (956) 969-1313

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N0052TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olga L Gomez MD PA Childrens Clinic Pediatrics CurrentSince Dec 17, 2023 Accepting new patients
Jose D Bejarano MD PA PastSince Dec 17, 2023 Accepting new patients

Locations

5111 N 10th St
McAllen, TX 78504
Phone (877) 543-7247

910 E 8th St
Ste 3
Weslaco, TX 78596
Phone (956) 969-1313

Interoperability endpoints

  • Direct secure messaging: olga.gomez.1@14503.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14503/brand/1/csg/22/fhir/r4

Organizations & group practices 2

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1225239502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N 10TH ST # 230",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042835",
            "telephone_number": "956-969-1313",
            "fax_number": "956-969-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 8TH ST STE 3",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964675",
            "telephone_number": "956-969-1313",
            "fax_number": "956-969-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ MORENO",
        "first_name": "OLGA",
        "middle_name": "LUCIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N0052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.