NPIMap

Organization Active NPI

Jose a Escandon MD PA

  • General Practice Physician
  • Mission, TX
National Provider Identifier
1942697974
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P1994 Issued in TX
Legal business name
JOSE A ESCANDON MD PA
Practice address
1300 S Bryan Rd Ste 100
Mission, TX 78572-6688
Phone
(956) 519-9333
Fax
(956) 519-9353
NPI assigned
Apr 16, 2015
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Dr. Jose A Escandon, MDNPI 1316184302
Title
Owner
Phone
(956) 519-9333

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
General Practice Physician 208D00000X P1994 TX Primary

Addresses

Primary practice location

1300 S Bryan Rd Ste 100
Mission, TX 78572-6688

Mailing address

1300 S. Bryan Rd Ste 100/100 a
Mission, TX 78572-6626
Phone (956) 519-9333

Other identifiers 1

IdentifierTypeStateIssuer
388909901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150605000363 TX Part B Supplier - Clinic/Group Practice 4082935804 Receives reassigned benefits from 3 practitioners
Practice locations: Mission, TX

National Provider Directory

National Provider Directory

Locations

1300 S Bryan Rd
#100100A
Mission, TX 78572
Phone (956) 519-9333

1300 S Bryan Rd
Ste 100
Mission, TX 78572
Phone (956) 519-9333

1300 S Bryan Rd
Ste 100100
Mission, TX 78572

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1942697974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S. BRYAN RD STE 100/100 A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726626",
            "telephone_number": "956-519-9333",
            "fax_number": "956-519-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S BRYAN RD STE 100",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726688",
            "telephone_number": "956-519-9333",
            "fax_number": "956-519-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A ESCANDON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "ESCANDON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-519-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P1994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388909901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.