Individual provider Active NPI

Felipe Antonio Sarda, MD

  • Primary Care Clinic/Center
  • Orange, TX
National Provider Identifier
1689789679
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L1731 Issued in TX
Practice address
909 12TH St
Orange, TX 77630-4906
Phone
(409) 886-4242
Fax
(409) 886-2559
NPI assigned
Aug 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X L1731 TX Primary
Primary Care Clinic/Center 261QP2300X ME45696 FL

Addresses

Primary practice location

909 12TH St
Orange, TX 77630-4906

Mailing address

PO Box 3101
Orange, TX 77631-3101
Phone (409) 886-4242

Other identifiers 2

IdentifierTypeStateIssuer
L1731OtherTXMEDICAL LICENSE
20118892OtherTXDEPARTMENT OF SAFETY

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME45696FLMDPrimary Care Clinic/Center
L1731TXMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Pediatrics, PA Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689789679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3101",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776313101",
            "telephone_number": "409-886-4242",
            "fax_number": "409-886-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 12TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304906",
            "telephone_number": "409-886-4242",
            "fax_number": "409-886-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDA",
        "first_name": "FELIPE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L1731",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME45696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L1731",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SAFETY",
            "identifier": "20118892",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.