Active NPI
Juan Antonio Ortega-Mora MD PA
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1821232968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E3593
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E3593 | TX | Primary |
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127160302 | Medicaid | TX |
Other names 1
- Ortega Medical Clinic
National Provider Directory
National Provider DirectoryLocations
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.