Active NPI
PHS-Preventive Health Solutions, LLC
- Health Service Clinic/Center
- McAllen, TX
National Provider Identifier
1801181896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- L6549
- Legal business name
- PHS-PREVENTIVE HEALTH SOLUTIONS, LLC
- Practice address
- 2421 N J St Apt C
McAllen, TX 78501-1482 - Phone
- (956) 821-8521
- Fax
- (956) 682-9768
- NPI assigned
- Jun 17, 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. Ricardo Ochoa, MD
- Title
- President
- Phone
- (956) 821-8521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | L6549 | TX | Primary |
Addresses
Primary practice location
2421 N J St Apt C
McAllen, TX 78501-1482
Mailing address
2421 N J St Apt C
McAllen, TX 78501-1482
Phone (956) 821-8521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170927004510 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193010403 | Practice locations: McAllen, TX |
National Provider Directory
National Provider DirectoryLocations
508 N 10th St
Ste C7
McAllen, TX 78501
Phone (956) 618-4700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308268800000",
"number": "1801181896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 N J ST APT C",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785011482",
"telephone_number": "956-821-8521",
"fax_number": "956-682-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 N J ST APT C",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785011482",
"telephone_number": "956-821-8521",
"fax_number": "956-682-9768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHS-PREVENTIVE HEALTH SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A",
"authorized_official_last_name": "OCHOA",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-821-8521",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "TX",
"license": "L6549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.