Active NPI
Celso Humberto Vergara Sosa, PA
- Medical Physician Assistant
- Houston, TX
National Provider Identifier
1861190944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1544-P.A.
- Practice address
- 8114 Hall View Dr
Houston, TX 77075-1413 - Phone
- (832) 542-8810
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1544-P.A. | PR | Primary |
Addresses
Primary practice location
8114 Hall View Dr
Houston, TX 77075-1413
Mailing address
8114 Hall View Dr
Houston, TX 77075-1413
Phone (832) 542-8810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1544-P.A. | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1861190944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8114 HALL VIEW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770751413",
"telephone_number": "832-542-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8114 HALL VIEW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770751413",
"telephone_number": "832-542-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA SOSA",
"first_name": "CELSO",
"middle_name": "HUMBERTO",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "1544-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.