Carefirst Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAREFIRST MEDICAL GROUP

Practice address

9353 Elam Rd
Dallas, TX 75217-4181

Phone

(214) 391-1158

Fax

(214) 398-0212

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Haresh Kumar Boghara, MD

Title

Ceo

Phone

(214) 391-1158

Specialties & licenses 2

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vimi Ketan Masters, PA-C

  • Physician Assistant
  • Irving, TX
  • NPI 1285023499
  NPD
• German Picazo, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1235670266
  NPD (past)
• Angel Salazar, M.D.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1912981721
  NPD (past)
• Laquita Ann Shepherd, MD

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1063483998
  NPD (past)
• Grace Stanley, M.D.

  • Family Medicine Physician
  • Round Rock, TX
  • NPI 1255583563
  NPD (past)

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1699243584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9353 ELAM RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174181",
            "telephone_number": "214-391-1158",
            "fax_number": "214-398-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9353 ELAM RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174181",
            "telephone_number": "214-391-1158",
            "fax_number": "214-398-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751543981",
            "country_code": "US",
            "telephone_number": "972-515-8700",
            "fax_number": "214-764-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 N Galloway Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751492461",
            "country_code": "US",
            "telephone_number": "972-216-4900",
            "fax_number": "972-216-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 York Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152052",
            "country_code": "US",
            "telephone_number": "972-807-3139",
            "fax_number": "972-807-3140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Centre St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752086615",
            "country_code": "US",
            "telephone_number": "214-222-9115",
            "fax_number": "214-948-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 S MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750603827",
            "country_code": "US",
            "telephone_number": "972-254-2273",
            "fax_number": "972-254-2275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Medical Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752347842",
            "country_code": "US",
            "telephone_number": "972-481-1881",
            "fax_number": "972-481-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREFIRST MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "HARESH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-391-1158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.