NPIMap

Organization Active NPI

Calallen Minor Emergency Center, PA

  • General Practice Physician
  • Corpus Christi, TX
National Provider Identifier
1861547234
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CALALLEN MINOR EMERGENCY CENTER, PA
Practice address
11559 Leopard St
Corpus Christi, TX 78410-3415
Phone
(361) 241-1116
Fax
(361) 242-1116
NPI assigned
Jan 24, 2007
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda M Soliz
Title
Billing Supervisor
Phone
(361) 852-6824

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

11559 Leopard St
Corpus Christi, TX 78410-3415

Mailing address

11559 Leopard St
Corpus Christi, TX 78410-3415
Phone (361) 241-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040501000269 TX Part B Supplier - Clinic/Group Practice 6305834284 Receives reassigned benefits from 9 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

11559 Leopard St
Corpus Christi, TX 78410
Phone (361) 241-1116

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1861547234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11559 LEOPARD ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784103415",
            "telephone_number": "361-241-1116",
            "fax_number": "361-242-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11559 LEOPARD ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784103415",
            "telephone_number": "361-241-1116",
            "fax_number": "361-242-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALALLEN MINOR EMERGENCY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SOLIZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "361-852-6824"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.