Organization Active NPI

South Coast Family Medicine PLLC

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1346593654
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH COAST FAMILY MEDICINE PLLC
Practice address
6182 Dunbarton Oak St Ste B
Corpus Christi, TX 78414-4276
Phone
(361) 452-9320
Fax
(361) 452-9321
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Robert E Caro, MDNPI 1316944903
Title
Owner
Phone
(361) 452-9320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6182 Dunbarton Oak St Ste B
Corpus Christi, TX 78414-4276

Mailing address

PO Box 61160
Corpus Christi, TX 78466-1160
Phone (361) 452-9320

Other identifiers 1

IdentifierTypeStateIssuer
272184OtherTXMEDICARE

National Provider Directory

National Provider Directory

Locations

4458 S Staples St
Corpus Christi, TX 78411
Phone (361) 236-4382

6182 Dunbarton Oak St
Ste B
Corpus Christi, TX 78414
Phone (361) 336-4535

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": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1346593654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-452-9320",
            "fax_number": "361-857-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6182 DUNBARTON OAK ST STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144276",
            "telephone_number": "361-452-9320",
            "fax_number": "361-452-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "CARO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-452-9320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "272184",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.