Organization Active NPI

PHS-Preventive Health Solutions, LLC

  • Health Service Clinic/Center
  • McAllen, TX
National Provider Identifier
1801181896
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
L6549 Issued in TX
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

Updated by the provider on Jun 17, 2011

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20170927004510 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5193010403 Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.