Individual provider Active NPI

Catalino G Pitty, LSA

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1497885560
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00279 Issued in TX
Practice address
2522 Sandlewood Trail LN
Houston, TX 77014-1963
Phone
(713) 254-6136
Fax
(281) 893-0780
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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 SA00279 TX
Surgical Physician Assistant 363AS0400X SA00279 TX Primary

Addresses

Primary practice location

2522 Sandlewood Trail LN
Houston, TX 77014-1963

Mailing address

PO Box 680366
Houston, TX 77268-0366
Phone (713) 254-6136

Other identifiers 1

IdentifierTypeStateIssuer
SA00279OtherTXLICENSE SURGICAL ASSISTANT

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
SA00279TXMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1497885560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680366",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772680366",
            "telephone_number": "713-254-6136",
            "fax_number": "281-893-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 SANDLEWOOD TRAIL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141963",
            "telephone_number": "713-254-6136",
            "fax_number": "281-893-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTY",
        "first_name": "CATALINO",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00279",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE SURGICAL ASSISTANT",
            "identifier": "SA00279",
            "state": "TX"
        }
    ],
    "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 Feb 16, 2019; 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.