Organization Active NPI

Lydia O. Njamfa, MD.PA

Doing business as Community Medical Clinic

  • Family Medicine Physician
  • Richardson, TX
National Provider Identifier
1922010479
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0884 Issued in TX
Legal business name
LYDIA O. NJAMFA, MD.PA
Doing business as
Community Medical Clinic
Practice address
708 W Spring Valley Rd
Richardson, TX 75080-7216
Phone
(214) 570-9400
Fax
(972) 792-7246
NPI assigned
Aug 13, 2006
Last updated
Oct 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Dr. Lydia Oluwatoyin Njamfa, M.D.NPI 1619989142
Title
Medical Director
Phone
(214) 570-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L0884 TX Primary

Addresses

Primary practice location

708 W Spring Valley Rd
Richardson, TX 75080-7216

Mailing address

708 W Spring Valley Rd
Richardson, TX 75080-7216
Phone (214) 570-9400

Other identifiers 3

IdentifierTypeStateIssuer
1703118-01MedicaidTX
1703118-02MedicaidTX
10017340OtherTXAMERIGROUP

Other names 1

  • Community Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

101 S Coit Rd
Ste 399
Richardson, TX 75080
Phone (214) 570-9400

708 W Spring Valley Rd
Richardson, TX 75080
Phone (214) 570-9400

Practitioners & affiliated clinicians

Practitioners 3

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1922010479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W SPRING VALLEY RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807216",
            "telephone_number": "214-570-9400",
            "fax_number": "972-792-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W SPRING VALLEY RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807216",
            "telephone_number": "214-570-9400",
            "fax_number": "972-792-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA O. NJAMFA, MD.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "NJAMFA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-570-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703118-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703118-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10017340",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.