Individual provider Active NPI

Oscar Rene Vela, P.A-C

  • Physician Assistant
  • San Juan, TX
National Provider Identifier
1275740243
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01813 Issued in TX
Practice address
3006 N Raul Longoria Rd
San Juan, TX 78589-3676
Phone
(956) 283-9800
Fax
(956) 283-7020
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01813 TX Primary

Addresses

Primary practice location

3006 N Raul Longoria Rd
San Juan, TX 78589-3676

Mailing address

3006 N Raul Longoria Rd
San Juan, TX 78589-3676
Phone (956) 283-9800

Other identifiers 1

IdentifierTypeStateIssuer
742485958OtherTXTX ID #

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804001181 TX Practitioner - Physician Assistant 9638108152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: oscar.vela.1@30238.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1275740243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893676",
            "telephone_number": "956-283-9800",
            "fax_number": "956-283-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893676",
            "telephone_number": "956-283-9800",
            "fax_number": "956-283-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "OSCAR",
        "middle_name": "RENE",
        "name_prefix": "Mr.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX ID #",
            "identifier": "742485958",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.