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CLINICA FAMILIAR PERALTA LLC
NPI 1457108706
Nurse Practitioner - Family in Dallas, TX

Active since May 03, 2024CLIA Certified · 2 labs
2448 W ILLINOIS AVE, DALLAS, TX 75233(469) 669-2009(469) 669-2039 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinica Familiar Peralta Llc NPPES

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

CLINICA FAMILIAR PERALTA LLC (NPI 1457108706) is a healthcare organization registered as a family in Dallas, Texas and active in the NPI registry since May 2024. The organization holds 2 active CLIA laboratory certificates and lists Osleidy Fernandez, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1457108706
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCLINICA FAMILIAR PERALTA LLC
Location Address2448 W ILLINOIS AVEDallas, TX 75233-1106
Mailing Address2448 W Illinois AveDallas, TX 75233-1106 · (469) 669-2009 · Fax (469) 669-2039
Phone(469) 669-2009
Fax(469) 669-2039
Organization SubpartNo
Authorized OfficialOsleidy FernandezNurse Practitioner · (239) 465-2365
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1457108706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2448 W ILLINOIS AVE, Dallas, TX 75233
Open in Google Maps ↗

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 Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 45D2301677

Clinica Familiar Peralta · Dallas, TX
Active · expires Mar 28, 2028
CLIA Number45D2301677
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorOsleidy Fernandez
Laboratory Phone(469) 669-2009
Laboratory LocationClinica Familiar Peralta2448 W Illinois Ave, Dallas, TX 75233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2320705

Clinica Familiar Peralta North Dallas · Dallas, TX
Active · expires Mar 23, 2027
CLIA Number45D2320705
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorOsleidy Fernandez
Laboratory Phone(469) 669-2009
Laboratory LocationClinica Familiar Peralta North Dallas2653 Tarna Dr, Dallas, TX 75229
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAR NOSE & THROAT CARE, PA
Otolaryngology (Plastic Surgery within the Head & Neck)
2448 W ILLINOIS AVE
DALLAS, TX 75233
Dallas County (214) 330-7028

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 Peralta LLC's NPI number?

The NPI number for Clinica Familiar Peralta LLC is 1457108706. It was assigned to this organization in the NPPES registry on May 3, 2024.

Where is Clinica Familiar Peralta LLC located?

Clinica Familiar Peralta LLC is located at 2448 W Illinois Ave, Dallas, TX 75233. The listed phone number is (469) 669-2009.

What is Clinica Familiar Peralta LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Clinica Familiar Peralta LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Clinica Familiar Peralta LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Clinica Familiar Peralta LLC 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 Peralta LLC was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.