Active NPI
Richard J Guajardo, M.D.
- Family Medicine Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M2627
- Practice address
- 2882 Holly Rd
Corpus Christi, TX 78415-4106 - Phone
- (361) 814-2001
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M2627 | TX | Primary |
Addresses
Primary practice location
2882 Holly Rd
Corpus Christi, TX 78415-4106
Mailing address
1400 Ocean Dr Apt 303B
Corpus Christi, TX 78404-2115
Phone (361) 779-2058
Other practice location 1
3455 S Alameda St
Corpus Christi, TX 78411-1753
Phone (206) 395-7870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Vera Whole Health Wa PC | Past | Accepting new patients |
Locations
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Primary Care Clinic/Center
- Corpus Christi, TX
- NPI 1982228607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1992925663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 OCEAN DR APT 303B",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042115",
"telephone_number": "361-779-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2882 HOLLY RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784154106",
"telephone_number": "361-814-2001"
}
],
"practiceLocations": [
{
"address_1": "3455 S Alameda St",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784111753",
"country_code": "US",
"telephone_number": "206-395-7870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUAJARDO",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M2627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.