Organization Active NPI

Jorge a. Saldivar MD PA

  • Obstetrics & Gynecology Physician
  • Desoto, TX
National Provider Identifier
1295012946
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JORGE A. SALDIVAR MD PA
Practice address
2715 Bolton Boone Dr
Ste. B
Desoto, TX 75115-2078
Phone
(972) 780-8009
Fax
(972) 780-6115
NPI assigned
Nov 9, 2011
Last updated
Nov 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Jorge A Saldivar, M.D.NPI 1285632851
Title
President
Phone
(972) 780-8009

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

2715 Bolton Boone Dr
Ste. B
Desoto, TX 75115-2078

Mailing address

2715 Bolton Boone Dr
Ste. B
Desoto, TX 75115-2078
Phone (972) 780-8009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120611000643 TX Part B Supplier - Clinic/Group Practice 4981868569 Receives reassigned benefits from 1 practitioner
Practice locations: Desoto, 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
45D0509884Jorge a Saldivar MD PA2715 Bolton Boone Suite B, Desoto, TX 75115Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2715 Bolton Boone Dr
Ste B
Desoto, TX 75115
Phone (972) 780-8009

Practitioners & affiliated clinicians

Practitioners 2

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": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1295012946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 BOLTON BOONE DR",
            "address_2": "STE. B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152078",
            "telephone_number": "972-780-8009",
            "fax_number": "972-780-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 BOLTON BOONE DR",
            "address_2": "STE. B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152078",
            "telephone_number": "972-780-8009",
            "fax_number": "972-780-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A. SALDIVAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "SALDIVAR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-780-8009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.