NPIMap

Individual provider Active NPI

Marilyn Lopez-Longoria, P.A.-C

  • Physician Assistant
  • Pharr, TX
National Provider Identifier
1801136486
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
807 N Cage Blvd
Pharr, TX 78577-3117
Phone
(956) 283-1889
Fax
(956) 283-7014
NPI assigned
Feb 19, 2013
Last updated
Feb 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

807 N Cage Blvd
Pharr, TX 78577-3117

Mailing address

807 N Cage Blvd
Pharr, TX 78577-3117
Phone (956) 283-1889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140527000386 TX Practitioner - Physician Assistant 4183847817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1200 E Ridge Rd
Suite 6
McAllen, TX 78503-1528
Phone (956) 331-8150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gholam a. Kiani M.D.,P.a. CurrentSince Oct 22, 2023 Accepting new patients

Locations

1200 E Ridge Rd
Ste 6
McAllen, TX 78503
Phone (956) 331-8150

Organizations & group practices 2

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1801136486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785773117",
            "telephone_number": "956-283-1889",
            "fax_number": "956-283-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785773117",
            "telephone_number": "956-283-1889",
            "fax_number": "956-283-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-LONGORIA",
        "first_name": "MARILYN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.