Organization Active NPI

Spring Valley Primary Care, P.a.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1508135609
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1502 Issued in TX
Legal business name
SPRING VALLEY PRIMARY CARE, P.A.
Practice address
1220 Blalock Rd Ste 250
Houston, TX 77055-6473
Phone
(713) 781-0844
Fax
(713) 781-1350
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Namita Verma, D.O.
Title
President
Phone
(713) 781-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X P1502 TX Primary

Addresses

Primary practice location

1220 Blalock Rd Ste 250
Houston, TX 77055-6473

Mailing address

1220 Blalock Rd Ste 250
Houston, TX 77055-6473
Phone (713) 781-0844

Other identifiers 3

IdentifierTypeStateIssuer
350445801MedicaidTX
4995460OtherTXAETNA
003AAXOtherTXBSBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1508135609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BLALOCK RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556473",
            "telephone_number": "713-781-0844",
            "fax_number": "713-781-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BLALOCK RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556473",
            "telephone_number": "713-781-0844",
            "fax_number": "713-781-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "NAMITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-781-0844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350445801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4995460",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBS",
            "identifier": "003AAX",
            "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 Apr 5, 2016; 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.