1861505539 NPI number — DR. RAMON ANTONIO PINEDA M.D.

Table of content: MRS. CHELSEY A MAHON PA (NPI 1053657668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861505539 NPI number — DR. RAMON ANTONIO PINEDA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PINEDA
Provider First Name:
RAMON
Provider Middle Name:
ANTONIO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861505539
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2418 EAST SOUTHMORE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-472-2700
Provider Business Mailing Address Fax Number:
713-472-4216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2418 SOUTHMORE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77502-1421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-472-2700
Provider Business Practice Location Address Fax Number:
713-472-4216
Provider Enumeration Date:
08/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  H7208 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010029302 . This is a "MEDICARE RAIL ROAD #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10014906 . This is a "AMERIGROUP MEDICAID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 137970308 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 85613Z . This is a "BCBS HMO #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00D53P . This is a "BCBS PPO #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 76-0367510 . This is a "TAX ID #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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