Organization Active NPI

Arellano Medical Clinic LLC

  • Physician Assistant
  • Elsa, TX
National Provider Identifier
1407500580
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
ARELLANO MEDICAL CLINIC LLC
Practice address
508 W Edinburg Ave
Ste 105
Elsa, TX 78543-3008
Phone
(956) 262-9661
Fax
(956) 262-9664
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Salvador Arellano Jr., PHYSICIAN ASSISTANTNPI 1942535828
Title
PA
Phone
(956) 262-9661

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
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

508 W Edinburg Ave
Ste 105
Elsa, TX 78543-3008

Mailing address

3106 E Ingle Rd
Edinburg, TX 78542-1402
Phone (956) 262-9661

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address DELTAMEDICALCLINIC@HOTMAIL.COM Direct
Direct Messaging Address DELTAMEDICALCLINIC@HOTMAIL.COM Direct
Direct Messaging Address DELTAMEDICALCLINIC@HOTMAIL.COM Direct
Direct Messaging Address DELTAMEDICALCLINIC@HOTMAIL.COM Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230227002409 TX Part B Supplier - Clinic/Group Practice 2769855527 Receives reassigned benefits from 1 practitioner
Practice locations: Elsa, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1407500580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 E INGLE RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421402",
            "telephone_number": "956-262-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W EDINBURG AVE",
            "address_2": "STE 105",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785433008",
            "telephone_number": "956-262-9661",
            "fax_number": "956-262-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARELLANO MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "ARELLANO",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "956-262-9661",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DELTAMEDICALCLINIC@HOTMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "504 W EDINBURG AVE",
            "city": "ELSA",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785433008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DELTAMEDICALCLINIC@HOTMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "504 W EDINBURG AVE",
            "city": "ELSA",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785433008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DELTAMEDICALCLINIC@HOTMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "504 W EDINBURG AVE",
            "city": "ELSA",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785433008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DELTAMEDICALCLINIC@HOTMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "504 W EDINBURG AVE",
            "city": "ELSA",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785433008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elsa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.