Active NPI
Lydia O. Njamfa, MD.PA
- Family Medicine Physician
- Richardson, TX
National Provider Identifier
1922010479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L0884
- Legal business name
- LYDIA O. NJAMFA, MD.PA
- Practice address
- 708 W Spring Valley Rd
Richardson, TX 75080-7216 - Phone
- (214) 570-9400
- Fax
- (972) 792-7246
- NPI assigned
- Aug 13, 2006
- 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
- Dr. Lydia Oluwatoyin Njamfa, M.D.
- Title
- Medical Director
- Phone
- (214) 570-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10017340 | Other | TX | AMERIGROUP |
| 1703118-02 | Medicaid | TX | |
| 1703118-01 | Medicaid | TX |
Other names 1
- Community Medical Clinic
National Provider Directory
National Provider DirectoryLocations
301 W Central Ave
Ft Worth, TX 76164
Phone (214) 886-7721
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 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Lewisville, TX
- NPI 1053563494
-
- Physician Assistant
- El Paso, TX
- NPI 1689195539
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": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L0884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10017340",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1703118-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1703118-01",
"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.