Active NPI
Austin Regional Clinic, PA
Doing business as ARC - Far West
- Durable Medical Equipment & Medical Supplies
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- E1535
- Legal business name
- AUSTIN REGIONAL CLINIC, PA
- Doing business as
- ARC - Far West
- Practice address
- 6835 Austin Center Blvd
Austin, TX 78731-3166 - Phone
- (512) 346-6611
- Fax
- (512) 406-7312
- NPI assigned
- Apr 7, 2016
- Last updated
- Feb 20, 2019
- 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
- Anas Daghestani, MD
- Title
- Ceo/President
- Phone
- (512) 231-5500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | E1535 | TX | Primary |
Addresses
Primary practice location
6835 Austin Center Blvd
Austin, TX 78731-3166
Mailing address
6210 E US Hwy 290
Suite 420 - Credentialing
Austin, TX 78723-1098
Phone (512) 338-3802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1333940-03 | Medicaid | TX |
Other names 1
- ARC - Far West
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 |
|---|---|---|---|
| 45D0505334 | Austin Regional Clinic at Farwest | Accreditation | Jan 10, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Austin, TX
- NPI 1366458630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550620800000",
"number": "1265896096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 E US HWY 290",
"address_2": "SUITE 420 - CREDENTIALING",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231098",
"telephone_number": "512-338-3802",
"fax_number": "512-406-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6835 AUSTIN CENTER BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313166",
"telephone_number": "512-346-6611",
"fax_number": "512-406-7312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN REGIONAL CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-07",
"last_updated": "2019-02-20",
"status": "A",
"authorized_official_last_name": "DAGHESTANI",
"authorized_official_first_name": "ANAS",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "512-231-5500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "E1535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1333940-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ARC - Far West",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
- Austin Recovery
- Austin Recovery
- Austin Recovery, Inc.
- Austin Regional Clinic, PA (ARC - South 1st)
- Austin Regional Clinic, PA (ARC-South Specialty)
- Austin Regional Clinic, PA (ARC - Wilson Parke)
- Austin Regional Clinic, PA (ARC - Anderson Mill)
- Austin Regional Clinic, PA (ARC - East 7th)
- Austin Regional Clinic, PA (ARC - South Specialty)
- Austin Regional Clinic, PA (ARC - Medical Park Tower Ortho)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.