Luciano Jo Sarabosing Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J7177 Issued in TX

Practice address

2108 N Laurent St
Victoria, TX 77901-5451

Phone

(361) 578-3604

Fax

(361) 576-4397

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luciano J Sarabosing Jr., MD, PA

  • Pediatrics Physician
  • Victoria, TX
  • NPI 1548463292
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760439335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 CHARLESTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043822",
            "telephone_number": "361-574-8553",
            "fax_number": "361-574-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 N LAURENT ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015451",
            "telephone_number": "361-578-3604",
            "fax_number": "361-576-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARABOSING",
        "first_name": "LUCIANO",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J7177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135718809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSS BLUESHIELD",
            "identifier": "0038MN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CONTROLLED SUBSTANC",
            "identifier": "N0089582",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "16758440",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170867901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170867902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "J7177",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1037942",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc
• San Antonio Vamc
• Sherryl K Sanders, LPC
• Gustavo H Sandigo, MD
• Kapil Sapkota, MD
• Stefanie Dawood Hanna Sarra, DMD
• Susan Satava, LPC
• Satkartar LTD LLP
• Taylor N Saucier, DPM
• Sarah Denise Sauseda, LPC

• Pediatrics Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Pediatrics Physician in Texas

• 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.