Individual provider Active NPI

Ingrid Pamela Castaneda-Sanabria, P. A.

  • Physician Assistant
  • McKinney, TX
National Provider Identifier
1679056253
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11314 Issued in TX
Practice address
120 S Central Expy Ste 102
McKinney, TX 75070-3753
Phone
(972) 547-0606
Fax
(972) 547-0851
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11314 TX Primary

Addresses

Primary practice location

120 S Central Expy Ste 102
McKinney, TX 75070-3753

Mailing address

120 S Central Expy Ste 102
McKinney, TX 75070-3753
Phone (972) 547-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11314TXMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1679056253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S CENTRAL EXPY STE 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703753",
            "telephone_number": "972-547-0606",
            "fax_number": "972-547-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S CENTRAL EXPY STE 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703753",
            "telephone_number": "972-547-0606",
            "fax_number": "972-547-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA-SANABRIA",
        "first_name": "INGRID",
        "middle_name": "PAMELA",
        "credential": "P. A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.