Individual provider Active NPI

Jonathan H. Yamaguchi, M.D.

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1689687428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5858 Issued in TX
Practice address
1401 S Rangerville Rd
BLDG. 503
Harlingen, TX 78552-7638
Phone
(956) 364-8400
Fax
(956) 364-8497
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5858 TX Primary

Addresses

Primary practice location

1401 S Rangerville Rd
BLDG. 503
Harlingen, TX 78552-7638

Mailing address

1401 S Rangerville Rd
BLDG. 503
Harlingen, TX 78552-7638
Phone (956) 364-8400

Other identifiers 1

IdentifierTypeStateIssuer
F0084370OtherTXCONTROLLED SUBSTANCE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000123 TX Practitioner - Family PracticePractitioner - General PracticePractitioner - General SurgeryPractitioner - Addiction Medicine 7810030780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eldorado Texas Community Service Center CurrentSince Nov 22, 2010 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients

Locations

26460 Summit Cir
Santa Clarita, CA 91350
Phone (562) 916-7581

954 E Madison St
Brownsville, TX 78520
Phone (956) 550-9970

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
Bldg 503
Harlingen, TX 78552
Phone (956) 364-8000

5510 N Cage Blvd
Ste P
Pharr, TX 78577
Phone (956) 787-3544

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689687428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S RANGERVILLE RD",
            "address_2": "BLDG. 503",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785527638",
            "telephone_number": "956-364-8400",
            "fax_number": "956-364-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S RANGERVILLE RD",
            "address_2": "BLDG. 503",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785527638",
            "telephone_number": "956-364-8400",
            "fax_number": "956-364-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAGUCHI",
        "first_name": "JONATHAN",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "F0084370",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.