NPIMap

Organization Active NPI

D. Jardin Healthcare - Diagnostics L.P.

  • Specialist
  • Amarillo, TX
National Provider Identifier
1538334271
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L2117 Issued in TX
Legal business name
D. JARDIN HEALTHCARE - DIAGNOSTICS L.P.
Practice address
1510 S Austin St
Amarillo, TX 79102-2404
Phone
(972) 423-6715
Fax
(972) 578-1867
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Randi Herbolario Baculi, M.D,
Title
President
Phone
(972) 423-6715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L2117 TX Primary

Addresses

Primary practice location

1510 S Austin St
Amarillo, TX 79102-2404

Mailing address

PO Box 940092
Plano, TX 75094-0092
Phone (972) 423-6715

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1538334271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940092",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750940092",
            "telephone_number": "972-423-6715",
            "fax_number": "972-578-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S AUSTIN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022404",
            "telephone_number": "972-423-6715",
            "fax_number": "972-578-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. JARDIN HEALTHCARE - DIAGNOSTICS L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BACULI",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "HERBOLARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-423-6715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L2117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.