Southside Night Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHSIDE NIGHT CLINIC

Practice address

717 Savannah Ave
McAllen, TX 78503-3006

Phone

(956) 631-5995

Fax

(956) 631-1372

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bertha L. Rodriguez-Medina, M.D.

Title

Physician/Owner

Phone

(956) 631-5995

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 7

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

• Bertha Laura Rodriguez-Medina, MD

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1811048143
  Medicare reassignment NPD
• Maria Elena Flores, PA

  • Medical Physician Assistant
  • McAllen, TX
  • NPI 1902927932
  NPD (past)
• Deborah Ann Guerra, RN/CPNP

  • Pediatric Nurse Practitioner
  • McAllen, TX
  • NPI 1154564508
  NPD (past)
• Veronica Lozano

  • Obstetrics & Gynecology Physician
  • McAllen, TX
  • NPI 1336679224
  NPD (past)
• Irasema Perez, PA

  • Physician Assistant
  • McAllen, TX
  • NPI 1154643914
  NPD (past)
• Anna R Reyes, M.D.

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1528166535
  NPD (past)
• Susana Vela, PA

  • Medical Physician Assistant
  • McAllen, TX
  • NPI 1811094535
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1396790994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SAVANNAH AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785033006",
            "telephone_number": "956-631-5995",
            "fax_number": "956-631-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SAVANNAH AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785033006",
            "telephone_number": "956-631-5995",
            "fax_number": "956-631-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE NIGHT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-MEDINA",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "956-631-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092136301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Truman Nguyen Sparks, MD
• Gregory Scott Sparrow, L.P.C.

• Family Medicine Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.