Organization Active NPI

Sunrise Medical, PA

  • Specialist
  • Mission, TX
National Provider Identifier
1992994867
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L5434 Issued in TX
Legal business name
SUNRISE MEDICAL, PA
Practice address
1317 St Claire Blvd Ste a-4
Mission, TX 78572-6636
Phone
(956) 581-6606
Fax
(956) 581-6775
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. Enrique Linan, M.D.NPI 1689645178
Title
Owner
Phone
(956) 581-6606

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L5434 TX Primary

Addresses

Primary practice location

1317 St Claire Blvd Ste a-4
Mission, TX 78572-6636

Mailing address

1317 St Claire Blvd Ste a-4
Mission, TX 78572-6636
Phone (956) 581-6606

Other identifiers 1

IdentifierTypeStateIssuer
156145801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326000719 TX Part B Supplier - Clinic/Group Practice 0941386288 Receives reassigned benefits from 1 practitioner
Practice locations: Mission, TX

National Provider Directory

National Provider Directory

Locations

1317 St Claire Blvd
Ste A4
Mission, TX 78572
Phone (956) 581-6606

Practitioners & affiliated clinicians

Practitioners 1

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1992994867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ST CLAIRE BLVD STE A-4",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726636",
            "telephone_number": "956-581-6606",
            "fax_number": "956-581-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ST CLAIRE BLVD STE A-4",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726636",
            "telephone_number": "956-581-6606",
            "fax_number": "956-581-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "LINAN",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-581-6606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156145801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.