Active NPI
Angela Leon Granado
- Family Nurse Practitioner
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1060102
- Practice address
- 1620 S Padre Island Dr Ste 180
Corpus Christi, TX 78416-1361 - Phone
- (361) 221-1905
- Fax
- (361) 201-5540
- NPI assigned
- Aug 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1060102 | TX | Primary |
Addresses
Primary practice location
1620 S Padre Island Dr Ste 180
Corpus Christi, TX 78416-1361
Mailing address
1620 S Padre Island Dr Ste 180
Corpus Christi, TX 78416-1361
Phone (361) 221-1905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1060102 | Other | TX | NP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1620 S Padre Island Dr
Suite 180
Corpus Christi, TX 78416-1361
Phone (361) 221-1905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1060102 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Rafael Medical Center LLC | Current | Accepting new patients | |
| Victor Lopez de Mendoza, MD PLLC | Current | Accepting new patients | |
| Texas Spine and Orthopedic Solutions | Past | Accepting new patients |
Locations
3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057
7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585
1620 S Padre Island Dr
Ste 180
Corpus Christi, TX 78416
Phone (210) 401-1515
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1548991037
-
- Nephrology Physician
- Miami, FL
- NPI 1558660167
-
- Orthopaedic Surgery Physician
- Boerne, TX
- NPI 1033772173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1932873445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 S PADRE ISLAND DR STE 180",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784161361",
"telephone_number": "361-221-1905",
"fax_number": "361-201-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 S PADRE ISLAND DR STE 180",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784161361",
"telephone_number": "361-221-1905",
"fax_number": "361-201-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON GRANADO",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-07",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1060102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "1060102",
"state": "TX"
}
],
"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 Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.