Organization Active NPI

Chong Enterprises, PLLC.

  • Health Service Clinic/Center
  • Brownsville, TX
National Provider Identifier
1972041473
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AP125832 Issued in TX
Legal business name
CHONG ENTERPRISES, PLLC.
Practice address
315 Jose Marti Blvd
Brownsville, TX 78526-2868
Phone
(956) 621-0445
Fax
(956) 621-0839
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Mr. Samuel Chong, LVNNPI 1083000111
Title
Owner
Phone
(956) 533-4152

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AP125832 TX Primary
Primary Care Clinic/Center 261QP2300X AP125832 TX

Addresses

Primary practice location

315 Jose Marti Blvd
Brownsville, TX 78526-2868

Mailing address

5250 Ridgeline Dr
Brownsville, TX 78526-3882
Phone (956) 533-4152

Other names 1

  • Valley Angels Healthcare Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170228001657 TX Part B Supplier - Clinic/Group Practice 4082998547 Receives reassigned benefits from 4 practitioners
Practice locations: Brownsville, TX

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
45D2127091Chong Enterprises315 Jose Marti Blvd, Suite a, Brownsville, TX 78526Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Locations

315 Jose Marti Blvd
Ste A
Brownsville, TX 78526
Phone (956) 541-4400

Practitioners & affiliated clinicians

Practitioners 4

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": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1972041473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 RIDGELINE DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263882",
            "telephone_number": "956-533-4152",
            "fax_number": "956-541-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 JOSE MARTI BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262868",
            "telephone_number": "956-621-0445",
            "fax_number": "956-621-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHONG ENTERPRISES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-533-4152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "AP125832",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "AP125832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Angels Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.