NPIMap

Organization Active NPI

San Jacinto Medical Group

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1962456897
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAN JACINTO MEDICAL GROUP
Practice address
2610 N Alexander Dr
Baytown, TX 77520-3368
Phone
(281) 420-6200
Fax
(281) 425-2187
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
June E Loftis
Title
Credentialing Coordinator
Phone
(281) 420-8502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2610 N Alexander Dr
Baytown, TX 77520-3368

Mailing address

4301 Garth Rd
Suite 400
Baytown, TX 77521-3153
Phone (281) 420-8502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1962456897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GARTH RD",
            "address_2": "SUITE 400",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213153",
            "telephone_number": "281-420-8502",
            "fax_number": "281-420-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 N ALEXANDER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203368",
            "telephone_number": "281-420-6200",
            "fax_number": "281-425-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JACINTO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "LOFTIS",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "281-420-8502"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.