Organization Active NPI

Carlos a Regalado, M.D., P.a.

  • Pediatrics Physician
  • Mission, TX
National Provider Identifier
1720045156
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J8103 Issued in TX
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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.NPI 1538185632
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
164168002OtherTXSUBMITTER TPI NUMBER
164168001MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.