Organization Active NPI

Le Salveo Care Corp

Doing business as Salveo Family Clinic

  • General Practice Physician
  • Allen, TX
National Provider Identifier
1609814037
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
L5017 Issued in TX
Legal business name
LE SALVEO CARE CORP
Doing business as
Salveo Family Clinic
Practice address
614 S. Watters Rd.
Suite 101
Allen, TX 75013-4732
Phone
(214) 509-3623
Fax
(214) 509-3620
NPI assigned
Jun 4, 2006
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Jacqueline Nga Le, DONPI 1659311561
Title
President Owner
Phone
(214) 509-3623

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
General Practice Physician 208D00000X L5017 TX Primary

Addresses

Primary practice location

614 S. Watters Rd.
Suite 101
Allen, TX 75013-4732

Mailing address

614 S. Watters Rd.
Suite 101
Allen, TX 75013-4732
Phone (214) 509-3623

Other identifiers 1

IdentifierTypeStateIssuer
175303001MedicaidTX

Other names 1

  • Salveo Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000832 TX Part B Supplier - Clinic/Group Practice 1456307602 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1036180Salveo Family Clinic614 S Watters Road, BLDG a, Suite 101, Allen, TX 75013Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

2033 W McDermott Dr
Ste 430
Allen, TX 75013
Phone (214) 566-5672

614 S Watters Rd
Ste 101
Allen, TX 75013
Phone (214) 509-3623

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1609814037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S. WATTERS RD.",
            "address_2": "SUITE 101",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134732",
            "telephone_number": "214-509-3623",
            "fax_number": "214-509-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S. WATTERS RD.",
            "address_2": "SUITE 101",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134732",
            "telephone_number": "214-509-3623",
            "fax_number": "214-509-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE SALVEO CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "NGA",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "214-509-3623",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "L5017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175303001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salveo Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.