Organization Active NPI

JCB Clinic LLC

Doing business as Clinica San Miguel Rampart

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1942996673
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JCB CLINIC LLC
Doing business as
Clinica San Miguel Rampart
Practice address
5727 Rampart St Ste A4
Houston, TX 77081-2438
Phone
(832) 649-2490
Fax
(832) 649-2632
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Yadira Castro Gonzalez, FNP
Title
NP
Phone
(702) 351-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

5727 Rampart St Ste A4
Houston, TX 77081-2438

Mailing address

5727 Rampart St Ste A4
Houston, TX 77081-2438
Phone (832) 649-2490

Other names 1

  • CLINICA SAN MIGUEL RAMPART Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2281412Clinica San Miguel Rampart5727 Rampart St Ste A4, Houston, TX 77081Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

5727 Rampart St
Ste A4
Houston, TX 77081
Phone (713) 373-1609

Practitioners & affiliated clinicians

Practitioners 2

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": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1942996673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 RAMPART ST STE A4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812438",
            "telephone_number": "832-649-2490",
            "fax_number": "832-649-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 RAMPART ST STE A4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812438",
            "telephone_number": "832-649-2490",
            "fax_number": "832-649-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCB CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "CASTRO GONZALEZ",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "702-351-2446",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA SAN MIGUEL RAMPART",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLINICA SAN MIGUEL RAMPART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.