Organization Active NPI

Avidcare Management Group LLC

  • Multi-Specialty Clinic/Center
  • Austin, TX
National Provider Identifier
1427690957
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AVIDCARE MANAGEMENT GROUP LLC
Practice address
7801 N Lamar Blvd Ste B172
Austin, TX 78752-1032
Phone
(512) 371-7273
NPI assigned
Oct 16, 2019
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Babak Samani
Title
Manager
Phone
(512) 371-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

7801 N Lamar Blvd Ste B172
Austin, TX 78752-1032

Mailing address

7801 N Lamar Blvd Ste B174
Austin, TX 78752-1032
Phone (512) 371-7273

National Provider Directory

National Provider Directory

Locations

7801 N Lamar Blvd
Ste B172
Austin, TX 78752
Phone (512) 371-7273

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": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1427690957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE B174",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521032",
            "telephone_number": "512-371-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE B172",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521032",
            "telephone_number": "512-371-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIDCARE MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "SAMANI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-371-7273"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.