Active NPI
Antonieta a Gimotea MD PA
Doing business as Kids First Pediatrics
- Pediatrics Physician
- Mission, TX
National Provider Identifier
1841324340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K4434
- Legal business name
- ANTONIETA A GIMOTEA MD PA
- Doing business as
- Kids First Pediatrics
- Practice address
- 1022 E Griffin Pkwy
Suite 105
Mission, TX 78572-2400 - Phone
- (956) 585-2822
- Fax
- (956) 585-2632
- NPI assigned
- Mar 15, 2007
- 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. Antonieta A Gimotea, MD
- Title
- President
- Phone
- (956) 585-2822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K4434 | TX | Primary |
Addresses
Primary practice location
1022 E Griffin Pkwy
Suite 105
Mission, TX 78572-2400
Mailing address
1022 E Griffin Pkwy
Suite 105
Mission, TX 78572-2400
Phone (956) 585-2822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160806901 | Medicaid | TX |
Other names 1
- KIDS FIRST PEDIATRICS
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1020449 | Kids First Pediatrics | Certificate of waiver | Dec 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1022 E Griffin Pkwy
Ste 105
Mission, TX 78572
Phone (956) 585-2822
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Mission, TX
- NPI 1235140914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1841324340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 E GRIFFIN PKWY",
"address_2": "SUITE 105",
"city": "MISSION",
"state": "TX",
"postal_code": "785722400",
"telephone_number": "956-585-2822",
"fax_number": "956-585-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 E GRIFFIN PKWY",
"address_2": "SUITE 105",
"city": "MISSION",
"state": "TX",
"postal_code": "785722400",
"telephone_number": "956-585-2822",
"fax_number": "956-585-2632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTONIETA A GIMOTEA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "GIMOTEA",
"authorized_official_first_name": "ANTONIETA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-585-2822",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "K4434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160806901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KIDS FIRST PEDIATRICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.