Organization Active NPI

Juan Antonio Ortega-Mora MD PA

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1821232968
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E3593 Issued in TX
Legal business name
JUAN ANTONIO ORTEGA-MORA MD PA
Practice address
3313 Orlando St
Houston, TX 77093-4854
Phone
(713) 699-9177
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Mr. Juan Carlos Ortega Jr.
Title
Billing Administrator
Phone
(281) 740-0856

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X E3593 TX Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X E3593 TX

Addresses

Primary practice location

3313 Orlando St
Houston, TX 77093-4854

Mailing address

3313 Orlando St
Houston, TX 77093-4854
Phone (713) 699-9177

Other identifiers 1

IdentifierTypeStateIssuer
127160302MedicaidTX

Other names 1

  • Ortega Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3313 Orlando St
Houston, TX 77093
Phone (713) 699-9177

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1821232968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 ORLANDO ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770934854",
            "telephone_number": "713-699-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 ORLANDO ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770934854",
            "telephone_number": "713-699-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN ANTONIO ORTEGA-MORA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "281-740-0856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E3593",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E3593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127160302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortega Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.