Organization Active NPI

Clinica Latina Familiar 2 LLC

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1285332908
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CLINICA LATINA FAMILIAR 2 LLC
Practice address
6845 Fry Rd Ste 600
Katy, TX 77449-5880
Phone
(281) 861-0232
Fax
(281) 861-0230
NPI assigned
Feb 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Miss Yadira Castro Gonzalez, FNPNPI 1427450493
Title
FNP
Phone
(281) 861-0232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6845 Fry Rd Ste 600
Katy, TX 77449-5880

Mailing address

6845 Fry Rd Ste 600
Katy, TX 77449-5880
Phone (281) 861-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230908002056 TX Part B Supplier - Clinic/Group Practice 6608230685 Receives reassigned benefits from 2 practitioners
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2218141Clinica Latina Familiar LLC No 26845 Fry Rd #600, Katy, TX 77449Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

Locations

6845 Fry Rd
Ste 600
Katy, TX 77449
Phone (281) 861-0232

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1285332908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 FRY RD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495880",
            "telephone_number": "281-861-0232",
            "fax_number": "281-861-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 FRY RD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495880",
            "telephone_number": "281-861-0232",
            "fax_number": "281-861-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LATINA FAMILIAR 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "CASTRO GONZALEZ",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "281-861-0232",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.