Active NPI
Carlos a Regalado, M.D., P.a.
- Pediatrics Physician
- Mission, TX
National Provider Identifier
1720045156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J8103
- Legal business name
- CARLOS A REGALADO, M.D., P.A.
- Practice address
- 2121 E Griffin Pkwy
Suite 1
Mission, TX 78572-3241 - Phone
- (956) 424-3116
- Fax
- (956) 424-3133
- NPI assigned
- Apr 28, 2006
- Last updated
- Sep 1, 2011
- 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. Carlos A Regalado, M.D.
- Title
- Director
- Phone
- (956) 424-3116
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J8103 | TX | Primary |
Addresses
Primary practice location
2121 E Griffin Pkwy
Suite 1
Mission, TX 78572-3241
Mailing address
2121 E Griffin Pkwy
Suite 1
Mission, TX 78572-3241
Phone (956) 424-3116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164168002 | Other | TX | SUBMITTER TPI NUMBER |
| 164168001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2121 E Griffin Pkwy
Ste 1
Mission, TX 78572
Phone (956) 424-3116
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Mission, TX
- NPI 1538185632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1720045156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E GRIFFIN PKWY",
"address_2": "SUITE 1",
"city": "MISSION",
"state": "TX",
"postal_code": "785723241",
"telephone_number": "956-424-3116",
"fax_number": "956-424-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E GRIFFIN PKWY",
"address_2": "SUITE 1",
"city": "MISSION",
"state": "TX",
"postal_code": "785723241",
"telephone_number": "956-424-3116",
"fax_number": "956-424-3133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS A REGALADO, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "REGALADO",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "956-424-3116",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "J8103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBMITTER TPI NUMBER",
"identifier": "164168002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164168001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.