Individual provider Active NPI

Julio C Lores Riveron, LSA, CSA. SAC

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1972622595
Registry record updated Aug 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00324 Issued in TX
Practice address
1823 Creek Dr
Houston, TX 77080-6820
Phone
(281) 935-2012
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X SA00324 TX
Surgical Technologist 246ZS0410X 2945 TX
Surgical Assistant 246ZC0007X SA00324 TX Primary

Addresses

Primary practice location

1823 Creek Dr
Houston, TX 77080-6820

Mailing address

1823 Creek Dr
Houston, TX 77080-6820
Phone (281) 935-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA00324TXMDSurgical Assistant
2945TXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Proficient Surgical Services LLC Surgical Assistant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1972622595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770806820",
            "telephone_number": "281-935-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770806820",
            "telephone_number": "281-935-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORES RIVERON",
        "first_name": "JULIO",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LSA, CSA. SAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00324",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "2945",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 13, 2016; 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.