Active NPI
Optimal Health Primary Care PLLC
- Primary Care Clinic/Center
- Galveston, TX
National Provider Identifier
1851027262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- OPTIMAL HEALTH PRIMARY CARE PLLC
- Practice address
- 2027 61St St
Galveston, TX 77551-1401 - Phone
- (409) 789-4022
- NPI assigned
- Jul 27, 2022
- 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
- Elizabeth Jaramillo, MD
- Title
- Owner, Physician
- Phone
- (409) 789-4022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2027 61St St
Galveston, TX 77551-1401
Mailing address
6341 Stewart Rd # 194
Galveston, TX 77551-1880
Phone (409) 370-5739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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 |
|---|---|---|---|
| 45D2274595 | Optimal Health Primary Care | Certificate of waiver | Jan 5, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/25952/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/EIAGDD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Galveston, TX
- NPI 1104050780
-
- Family Medicine Physician
- Galveston, TX
- NPI 1609057751
-
- Nurse Practitioner
- Galveston, TX
- NPI 1750198974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661299200000",
"number": "1851027262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6341 STEWART RD # 194",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775511880",
"telephone_number": "409-370-5739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 61ST ST",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775511401",
"telephone_number": "409-789-4022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL HEALTH PRIMARY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-27",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A",
"authorized_official_last_name": "JARAMILLO",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER, PHYSICIAN",
"authorized_official_telephone_number": "409-789-4022",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.