Individual provider Active NPI

Salvador Arellano Jr., P.A.

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1942535828
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02040 Issued in TX
Practice address
222 E Ridge Rd
Suite 210
McAllen, TX 78503-1251
Phone
(956) 627-2483
Fax
(956) 627-2677
NPI assigned
Oct 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02040 TX Primary

Addresses

Primary practice location

222 E Ridge Rd
Suite 210
McAllen, TX 78503-1251

Mailing address

3106 E Ingle Rd
Edinburg, TX 78542-1402
Phone (956) 262-9661

Other identifiers 1

IdentifierTypeStateIssuer
889N43OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000180 TX Practitioner - Physician Assistant 4587792114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

508 W Edinburg Ave
Suite 105
Elsa, TX 78543-3008
Phone (956) 262-9661

Hospital & facility affiliations

  • Bienvenidos Home Health Care LLC Home health agency, Mercedes, TX, CCN 679737
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02040TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pharr Family Medical Center LLC Current Accepting new patients
Basiouni Healthcare Associates PA Past Accepting new patients
Upper Valley Hemorrhoid Clinic PA Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1942535828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 E INGLE RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421402",
            "telephone_number": "956-262-9661",
            "fax_number": "956-262-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E RIDGE RD",
            "address_2": "SUITE 210",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031251",
            "telephone_number": "956-627-2483",
            "fax_number": "956-627-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "SALVADOR",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "889N43",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.