Active NPI
Kim Nguyen Onufrak, D.O.
- Family Medicine Physician
- Corpus Christi, TX
National Provider Identifier
1619319571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BP10047017
- Practice address
- 4818 Holly Rd
Suite a
Corpus Christi, TX 78411-4734 - Phone
- (361) 993-1747
- NPI assigned
- Jul 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10047017 | TX | Primary |
Addresses
Primary practice location
4818 Holly Rd
Suite a
Corpus Christi, TX 78411-4734
Mailing address
14202 Encantada Ave
Apt 701
Corpus Christi, TX 78418-6636
Phone (214) 558-8919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10047017 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guadalupe Emergency Medicine Associates, PA | Current | Accepting new patients |
Locations
2500 E Main St
Alice, TX 78332
Phone (361) 664-4376
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Alice, TX
- NPI 1114425220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1619319571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14202 ENCANTADA AVE",
"address_2": "APT 701",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186636",
"telephone_number": "214-558-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 HOLLY RD",
"address_2": "SUITE A",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114734",
"telephone_number": "361-993-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONUFRAK",
"first_name": "KIM",
"middle_name": "NGUYEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-20",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10047017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.