Organization Active NPI

Ugarte Family Medical Clinic PA

  • Family Medicine Physician
  • Kingsville, TX
National Provider Identifier
1437317294
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3134 Issued in TX
Legal business name
UGARTE FAMILY MEDICAL CLINIC PA
Doing business as
Jose Manuel Ugarte
Practice address
1311 E General Cavazos Blvd Ste L
Kingsville, TX 78363
Phone
(361) 221-1087
Fax
(361) 488-5030
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Dr. Jose Manuel Ugarte, MDNPI 1457333882
Title
Owner
Phone
(361) 221-1087

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E3134 TX Primary

Addresses

Primary practice location

1311 E General Cavazos Blvd Ste L
Kingsville, TX 78363

Mailing address

PO Box 1557
Kingsville, TX 78364-1557
Phone (361) 221-1087

Other identifiers 1

IdentifierTypeStateIssuer
136466303MedicaidTX

Other names 1

  • Jose Manuel Ugarte Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121003978 TX Part B Supplier - Clinic/Group Practice 3274981774 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsville, TX

National Provider Directory

National Provider Directory

Locations

1311 Gen Cvazos Blvd
Ste L
Kingsville, TX 78363
Phone (361) 221-1087

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1437317294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783641557",
            "telephone_number": "361-221-1087",
            "fax_number": "361-488-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E GENERAL CAVAZOS BLVD STE L",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "78363",
            "telephone_number": "361-221-1087",
            "fax_number": "361-488-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UGARTE FAMILY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "UGARTE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-221-1087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E3134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136466303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jose Manuel Ugarte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.