Clinic of the East End Association

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINIC OF THE EAST END ASSOCIATION

Practice address

906 Wayside Dr
Houston, TX 77011-2518

Phone

(713) 923-6627

Fax

(713) 923-9383

NPI assigned

Apr 17, 2009

Organization subpart

No

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

Authorized official

Name

Miss Chandralatha Thota, M.D.NPI 1386735348

Title

Medical Officer

Phone

(713) 923-6627

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• EAST END MEDICAL CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Clinic of East End Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East End Medical Clinic

  • Family Medicine Physician
  • Houston, TX
  • NPI 1437240413
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8495/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandralatha Thota, MD

  • Family Medicine Physician
  • Houston, TX
  • NPI 1386735348
  Medicare reassignment Care Compare group NPD Authorized official
• Imelda Diala

  • Licensed Practical Nurse
  • Houston, TX
  • NPI 1437556313
  Medicare reassignment Care Compare group NPD
• Laura U Umez

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1578985024
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1235372467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "713-923-6627",
            "fax_number": "713-923-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "713-923-6627",
            "fax_number": "713-923-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF THE EAST END ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "THOTA",
        "authorized_official_first_name": "CHANDRALATHA",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "713-923-6627",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214554202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082252001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214554201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST END MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.