Active NPI
Carlos J Medrano MD PA
- Primary Care Clinic/Center
- Edinburg, TX
National Provider Identifier
1245428259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- K8662
- Legal business name
- CARLOS J MEDRANO MD PA
- Practice address
- 304 S Jackson Rd
Edinburg, TX 78539-3945 - Phone
- (956) 380-1911
- Fax
- (956) 380-1913
- NPI assigned
- Oct 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carlos J Medrano, M.D., PH.D.
- Title
- President
- Phone
- (956) 380-1911
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K8662 | TX | |
| Primary Care Clinic/Center | 261QP2300X | K8662 | TX | Primary |
| Urgent Care Clinic/Center | 261QU0200X | K8662 | TX |
Addresses
Primary practice location
304 S Jackson Rd
Edinburg, TX 78539-3945
Mailing address
304 S Jackson Rd
Edinburg, TX 78539-3945
Phone (956) 380-1911
Other names 1
- Valley MedClinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0996522 | Valley Medclinic | Certificate of waiver | Mar 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
304 S Jackson Rd
Edinburg, TX 78539
Phone (956) 279-7299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1245428259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S JACKSON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393945",
"telephone_number": "956-380-1911",
"fax_number": "956-380-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S JACKSON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393945",
"telephone_number": "956-380-1911",
"fax_number": "956-380-1913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS J MEDRANO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "MEDRANO",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-380-1911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., PH.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K8662",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "K8662",
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "TX",
"license": "K8662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley MedClinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.