CLINICA FAMILIAR SAN JOSE, PA
NPI 1174604763
Family Medicine in Mercedes, TX

Q: What is Clinica Familiar San Jose, PA's NPI number?

The NPI number for Clinica Familiar San Jose, PA is 1174604763. It was assigned to this organization in the NPPES registry on October 18, 2006.

Q: What is Clinica Familiar San Jose, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 18, 2006CLIA 45D1042724 · Certificate of Compliance

8030 N FM 1015 STE B, MERCEDES, TX 78570(956) 825-9757(956) 825-9125 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Clinica Familiar San Jose, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA FAMILIAR SAN JOSE, PA (NPI 1174604763) is a healthcare organization registered as a family medicine in Mercedes, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through July 11, 2027 and lists Judy L Kutugata, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1174604763

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCLINICA FAMILIAR SAN JOSE, PA

Location Address8030 N FM 1015 STE BMercedes, TX 78570-4809

Mailing Address8030 Fm 1015 Ste BMercedes, TX 78570-4809 · (956) 825-9757 · Fax (956) 825-9125

Phone(956) 825-9757

Fax(956) 825-9125

Organization SubpartNo

Authorized OfficialJudy L KutugataBusiness Manager · (956) 969-2904

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 17, 2013

✔ NPI 1174604763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · TA03917

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8030 N FM 1015 STE B, Mercedes, TX 78570

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Other Identifiers 6

Medicaid176879802TX

Medicare UPINE14221TX

Other117223100TX · Valley Health Plans

Medicaid176879801TX

Other8U4260TX · Bc/bs Of Texas

Medicare ID-Type Unspecified00712ZTX · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D1042724

Clinica Familiar San Jose PA · Mercedes, TX

Active · expires Jul 11, 2027

CLIA Number45D1042724

Laboratory TypePhysician Office

Certificate Effective DateJuly 12, 2025

Certificate Expiration DateJuly 11, 2027

Laboratory DirectorJorge L. Kutugata

Laboratory Phone(956) 825-9757

Laboratory LocationClinica Familiar San Jose PA8030 N Fm 1015 Ste B, Mercedes, TX 78570

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinica Familiar San Jose, PA's NPI number?

The NPI number for Clinica Familiar San Jose, PA is 1174604763. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Clinica Familiar San Jose, PA located?

Clinica Familiar San Jose, PA is located at 8030 N Fm 1015 Ste B, Mercedes, TX 78570. The listed phone number is (956) 825-9757.

What is Clinica Familiar San Jose, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Clinica Familiar San Jose, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D1042724) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinica Familiar San Jose, PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Clinica Familiar San Jose, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinica Familiar San Jose, PA was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.