NPIMap

Organization Active NPI

Aquarius Pediatrics

  • Pediatrics Physician
  • Live Oak, TX
National Provider Identifier
1316458680
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
AQUARIUS PEDIATRICS
Practice address
11515 Toepperwein Rd Ste 203
Live Oak, TX 78233-3166
Phone
(210) 560-4500
NPI assigned
Oct 13, 2017
Last updated
Oct 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Yvette Almendarez, MDNPI 1699937078
Title
Physician
Phone
(210) 560-4500

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

11515 Toepperwein Rd Ste 203
Live Oak, TX 78233-3166

Mailing address

11515 Toepperwein Rd Ste 203
Live Oak, TX 78233-3166

National Provider Directory

National Provider Directory

Locations

11515 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (210) 560-4500

11515 Toepperwein Rd
Ste 203
Live Oak, TX 78233
Phone (210) 560-4500

Practitioners & affiliated clinicians

Practitioners 9

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": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1316458680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 TOEPPERWEIN RD STE 203",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 TOEPPERWEIN RD STE 203",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333166",
            "telephone_number": "210-560-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUARIUS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "ALMENDAREZ",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-560-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.