Active NPI
Ambulatory Adult Neurology, PA
- Neurology Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- H2754
- Legal business name
- AMBULATORY ADULT NEUROLOGY, PA
- Practice address
- 5402 Holly Road
Suite 2102
Corpus Christi, TX 78411 - Phone
- (361) 882-9100
- Fax
- (361) 882-9194
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Felipe Santos, M.D.
- Title
- President
- Phone
- (361) 882-9100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | H2754 | TX | Primary |
Addresses
Primary practice location
5402 Holly Road
Suite 2102
Corpus Christi, TX 78411
Mailing address
5402 Holly Road
Suite 2102
Corpus Christi, TX 78411
Phone (361) 882-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148759701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
527 Gordon St
Ste B
Corpus Christi, TX 78404
Phone (361) 882-9100
2601 Hospital Blvd
Ste 206
Corpus Christi, TX 78405
Phone (361) 882-9100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Corpus Christi, TX
- NPI 1376508101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390953600000",
"number": "1689872269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 HOLLY ROAD",
"address_2": "SUITE 2102",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78411",
"telephone_number": "361-882-9100",
"fax_number": "361-882-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5402 HOLLY ROAD",
"address_2": "SUITE 2102",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78411",
"telephone_number": "361-882-9100",
"fax_number": "361-882-9194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY ADULT NEUROLOGY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2014-01-29",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "FELIPE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "361-882-9100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "H2754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148759701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.