Fairgrounds Family Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAIRGROUNDS FAMILY CLINIC PLLC

Practice address

300 Short St.
La Feria, TX 78559

Phone

(956) 277-0113

Fax

(956) 277-0674

NPI assigned

Oct 5, 2020

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marlon Monayao, NPNPI 1578927828

Title

NP, Co- Owner

Phone

(956) 622-0554

Specialties & licenses 1

Addresses

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 2

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.

• Maria E Monayao, FNP-BC

  • Family Nurse Practitioner
  • La Feria, TX
  • NPI 1487944302
  Medicare reassignment NPD
• Marlon Monayao, FNP

  • Critical Care Medicine Nurse Practitioner
  • Harlingen, TX
  • NPI 1578927828
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1447857255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SHORT ST.",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "78559",
            "telephone_number": "956-277-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SHORT ST.",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "78559",
            "telephone_number": "956-277-0113",
            "fax_number": "956-277-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRGROUNDS FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "MONAYAO",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "NP, CO- OWNER",
        "authorized_official_telephone_number": "956-622-0554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel De Leon Jr.
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• Shelby Lee Garza
• Jon Richard Gonzalez, RD, LD
• Luis Alfredo Gonzalez, M.D.
• Candace Y Guillen, LBSW

• Primary Care Clinic/Center in La Feria, TX
• Providers in La Feria, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.