Active NPI
Upper Valley Pediatrics, PLLC
- Pediatrics Physician
- Edinburg, TX
National Provider Identifier
1982884284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J9278
- Legal business name
- UPPER VALLEY PEDIATRICS, PLLC
- Doing business as
- University Pediatrics
- Practice address
- 615 E University Dr
Edinburg, TX 78539-3626 - Phone
- (956) 316-4416
- Fax
- (956) 316-4434
- NPI assigned
- Nov 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sergio Gustavo Preciado, M.D.
- Title
- President
- Phone
- (956) 787-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J9278 | TX | Primary |
Addresses
Primary practice location
615 E University Dr
Edinburg, TX 78539-3626
Mailing address
832 Del Oro LN
Suite 2
Pharr, TX 78577-2200
Phone (956) 787-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195075001 | Medicaid | TX | |
| 195075002 | Medicaid | TX |
Other names 1
- University Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0952507 | University Pediatrics | Compliance | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
615 E University Dr
Edinburg, TX 78539
Phone (956) 316-4416
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Edinburg, TX
- NPI 1982718789
-
- Pediatrics Physician
- McAllen, TX
- NPI 1790735041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478476800000",
"number": "1982884284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 DEL ORO LN",
"address_2": "SUITE 2",
"city": "PHARR",
"state": "TX",
"postal_code": "785772200",
"telephone_number": "956-787-2500",
"fax_number": "956-787-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E UNIVERSITY DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393626",
"telephone_number": "956-316-4416",
"fax_number": "956-316-4434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER VALLEY PEDIATRICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2016-11-07",
"status": "A",
"authorized_official_last_name": "PRECIADO",
"authorized_official_first_name": "SERGIO",
"authorized_official_middle_name": "GUSTAVO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-787-2500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "J9278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195075001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195075002",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 7, 2016; 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.