Organization Active NPI

Clinica Familiar Las Americas FW Inc

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1285449660
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINICA FAMILIAR LAS AMERICAS FW INC
Practice address
1701 NW 25TH St
Fort Worth, TX 76164-6850
Phone
(682) 707-5982
Fax
(682) 707-5984
NPI assigned
Feb 11, 2025
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Ibonne Lopez MasoNPI 1104697887
Title
Owner
Phone
(682) 707-5982

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

1701 NW 25TH St
Fort Worth, TX 76164-6850

Mailing address

1701 NW 25TH St
Fort Worth, TX 76164-6850
Phone (682) 707-5982

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
45D2298686Clinica Familiar Las Americas FW Inc1701 NW 25TH St, Fort Worth, TX 76164Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Locations

1701 NW 25th St
Fort Worth, TX 76164
Phone (682) 707-5982

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1285449660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NW 25TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761646850",
            "telephone_number": "682-707-5982",
            "fax_number": "682-707-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NW 25TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761646850",
            "telephone_number": "682-707-5982",
            "fax_number": "682-707-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIAR LAS AMERICAS FW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ MASO",
        "authorized_official_first_name": "IBONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-707-5982"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.

Verify at the official NPI Registry.