Individual provider Active NPI

Angel Fernando Barrios Pena, SA-C

  • Registered Nurse First Assistant
  • Houston, TX
National Provider Identifier
1407516784
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
9637717 Issued in FL
Practice address
19315 Juniper Vale Cir
Houston, TX 77084-7067
Phone
(832) 834-2882
NPI assigned
Dec 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 21-740 TX
Registered Nurse First Assistant 163WR0006X 9637717 FL Primary

Addresses

Primary practice location

19315 Juniper Vale Cir
Houston, TX 77084-7067

Mailing address

19315 Juniper Vale Cir
Houston, TX 77084-7067
Phone (832) 834-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9637717FLMDRegistered Nurse First Assistant
21-740TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1407516784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19315 JUNIPER VALE CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847067",
            "telephone_number": "832-834-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19315 JUNIPER VALE CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847067",
            "telephone_number": "832-834-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIOS PENA",
        "first_name": "ANGEL",
        "middle_name": "FERNANDO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "21-740",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "9637717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.