Organization Active NPI

Jose Zamora MD PA

  • Specialist
  • Edinburg, TX
National Provider Identifier
1962429472
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G6427 Issued in TX
Legal business name
JOSE ZAMORA MD PA
Practice address
4302 S Sugar Rd Ste 106
Edinburg, TX 78539-9140
Phone
(956) 465-0766
Fax
(956) 465-0745
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Dr. Jose L Zamora, MD
Title
President
Phone
(915) 449-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G6427 TX Primary

Addresses

Primary practice location

4302 S Sugar Rd Ste 106
Edinburg, TX 78539-9140

Mailing address

PO Box 1407
Robstown, TX 78380-9998
Phone (361) 389-4135

Other identifiers 2

IdentifierTypeStateIssuer
130555907MedicaidTX
164541801MedicaidTX

National Provider Directory

National Provider Directory

Locations

100 E Alton Gloor Blvd
Ste 240B
Brownsville, TX 78526

512 Victoria Ln
Ste 7C
Harlingen, TX 78550
Phone (956) 421-4008

2121 Pease St
Ste 204
Harlingen, TX 78550
Phone (956) 421-4008

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1962429472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1407",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783809998",
            "telephone_number": "361-389-4135",
            "fax_number": "956-546-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 S SUGAR RD STE 106",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399140",
            "telephone_number": "956-465-0766",
            "fax_number": "956-465-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE ZAMORA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-449-0891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G6427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130555907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164541801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.