Organization Active NPI

Eduardo O. Caveda MD PA

  • Rural Health Clinic/Center
  • San Diego, TX
National Provider Identifier
1649383571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EDUARDO O. CAVEDA MD PA
Doing business as
Caveda Care Clinic
Practice address
102 E King Ave
San Diego, TX 78384-1838
Phone
(361) 279-8804
Fax
(361) 279-8812
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eduardo Otto Caveda, MD
Title
Owner
Phone
(361) 384-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

102 E King Ave
San Diego, TX 78384-1838

Mailing address

102 E King Ave
San Diego, TX 78384-1838
Phone (361) 279-8804

Other names 1

  • Caveda Care Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

102 E King Ave
San Diego, TX 78384
Phone (361) 279-8804

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649383571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E KING AVE",
            "city": "SAN DIEGO",
            "state": "TX",
            "postal_code": "783841838",
            "telephone_number": "361-279-8804",
            "fax_number": "361-279-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E KING AVE",
            "city": "SAN DIEGO",
            "state": "TX",
            "postal_code": "783841838",
            "telephone_number": "361-279-8804",
            "fax_number": "361-279-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO O. CAVEDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAVEDA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "OTTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-384-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caveda Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.