Active NPI
Sunrise Medical, PA
- Specialist
- Mission, TX
National Provider Identifier
1992994867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L5434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Enrique Linan, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156145801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Mission, TX
- NPI 1689645178
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.