Organization Active NPI

Frontera Pediatrics PA

  • Pediatrics Physician
  • Del Rio, TX
National Provider Identifier
1912046509
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FRONTERA PEDIATRICS PA
Practice address
109 W Martin St
Del Rio, TX 78840-5501
Phone
(830) 778-5439
Fax
(830) 778-5400
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Cesar H. Faz, M.D.NPI 1215007224
Title
President
Phone
(830) 778-5439

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

109 W Martin St
Del Rio, TX 78840-5501

Mailing address

109 W Martin St
Del Rio, TX 78840-5501
Phone (830) 778-5439

Other identifiers 3

IdentifierTypeStateIssuer
166733902MedicaidTX
166733901MedicaidTX
8P6044OtherTXBCBS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1030243Frontera Pediatrics PA109 W Martin Street, Del Rio, TX 78840Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Locations

109 W Martin St
Del Rio, TX 78840
Phone (830) 778-5439

109 W Martin St
#5501
Del Rio, TX 78840

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1912046509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MARTIN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405501",
            "telephone_number": "830-778-5439",
            "fax_number": "830-778-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MARTIN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405501",
            "telephone_number": "830-778-5439",
            "fax_number": "830-778-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTERA PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "FAZ",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-778-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166733902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166733901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P6044",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.

Verify at the official NPI Registry.