Active NPI
Ogp Healthcare, Inc.
Doing business as Santa Maria de Guadalupe Clinic
- Family Nurse Practitioner
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- OGP HEALTHCARE, INC.
- Doing business as
- Santa Maria de Guadalupe Clinic
- Practice address
- 200 N Carrier Pkwy
Ste 100
Grand Prairie, TX 75050-5476 - Phone
- (214) 679-4475
- Fax
- (972) 283-9104
- NPI assigned
- Jun 22, 2012
- Last updated
- Sep 22, 2013
- 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
- Oliva G Pacana, FNP-BC
- Title
- President/Owner
- Phone
- (214) 679-4475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TX | Primary |
Addresses
Primary practice location
200 N Carrier Pkwy
Ste 100
Grand Prairie, TX 75050-5476
Mailing address
10818 Nantucket Dr
Rowlett, TX 75089-8468
Phone (214) 679-4475
Other names 1
- Santa Maria de Guadalupe Clinic
National Provider Directory
National Provider DirectoryLocations
200 N Carrier Pkwy
Ste 100
Grand Prairie, TX 75050
Phone (214) 679-4475
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Rowlett, TX
- NPI 1992014039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379808000000",
"number": "1821351958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10818 NANTUCKET DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750898468",
"telephone_number": "214-679-4475",
"fax_number": "972-283-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N CARRIER PKWY",
"address_2": "STE 100",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750505476",
"telephone_number": "214-679-4475",
"fax_number": "972-283-9104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OGP HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-22",
"last_updated": "2013-09-22",
"status": "A",
"authorized_official_last_name": "PACANA",
"authorized_official_first_name": "OLIVA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "214-679-4475",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Maria de Guadalupe Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.