Organization Active NPI

Cypress Advanced Medical Care, P.a

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1659622884
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
M8404 Issued in TX
Legal business name
CYPRESS ADVANCED MEDICAL CARE, P.A
Practice address
11455 Fallbrook Dr
Suite 102
Houston, TX 77065-4238
Phone
(832) 604-7044
Fax
(832) 688-8895
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Nireshkumari Vivekananthan, M.D.,
Title
Physician
Phone
(832) 604-7044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X M8404 TX Primary

Addresses

Primary practice location

11455 Fallbrook Dr
Suite 102
Houston, TX 77065-4238

Mailing address

11455 Fallbrook Dr
Suite 102
Houston, TX 77065-4238
Phone (832) 604-7044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1659622884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 FALLBROOK DR",
            "address_2": "SUITE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654238",
            "telephone_number": "832-604-7044",
            "fax_number": "832-688-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 FALLBROOK DR",
            "address_2": "SUITE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654238",
            "telephone_number": "832-604-7044",
            "fax_number": "832-688-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS ADVANCED MEDICAL CARE, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "VIVEKANANTHAN",
        "authorized_official_first_name": "NIRESHKUMARI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-604-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M8404",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 27, 2012; 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.