Organization Active NPI

Chao Clinic

Doing business as Clinica Hispana Familiar

  • Primary Care Clinic/Center
  • Rosenberg, TX
National Provider Identifier
1922793496
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHAO CLINIC
Doing business as
Clinica Hispana Familiar
Practice address
3926 Avenue H Ste 15
Rosenberg, TX 77471-2842
Phone
(281) 232-8883
Fax
(281) 232-8886
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Dayana Martinez Chao, FNP-CNPI 1124742325
Title
Owner/Manager
Phone
(281) 232-8883

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3926 Avenue H Ste 15
Rosenberg, TX 77471-2842

Mailing address

3926 Avenue H Ste 15
Rosenberg, TX 77471-2842
Phone (281) 232-8883

Other names 1

  • Clinica Hispana Familiar Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230531001724 TX Part B Supplier - Clinic/Group Practice 0749647105 Receives reassigned benefits from 1 practitioner
Practice locations: Rosenberg, TX

National Provider Directory

National Provider Directory

Locations

3926 Avenue H
Ste 15
Rosenberg, TX 77471
Phone (281) 232-8883

Practitioners & affiliated clinicians

Practitioners 1

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": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1922793496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 AVENUE H STE 15",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712842",
            "telephone_number": "281-232-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 AVENUE H STE 15",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712842",
            "telephone_number": "281-232-8883",
            "fax_number": "281-232-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAO CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ CHAO",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "281-232-8883",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Hispana Familiar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinica Hispana Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.