DR. LUCIANO JO SARABOSING JR. (NPI# 1760439335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760439335 |
| Entity Type | Individual |
| Full Name | DR. LUCIANO JO SARABOSING JR. |
| Credential | M.D. |
| Practice Address |
2108 N Laurent St Victoria TX 77901-5451 |
| Mailing Address |
806 Charleston Dr Victoria TX 77904-3822 |
| Practice Telephone | 3615783604 |
| Practice Fax Number | 3615764397 |
| Mailing Telephone | 3615748553 |
| Mailing Fax Number | 3615748583 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2011-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | J7177 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DRIVER'S LICENSE | 16758440 | 01 |
| TX | CLIA | 45D1037942 | 01 |
| TX | DEA LICENSE | BS2685545 | 01 |
| TX | 135718809 | 05 | |
| TX | 170867902 | 05 | |
| TX | STATE MEDICAL LICENSE | J7177 | 01 |
| TX | BLUECROSSS BLUESHIELD | 0038MN | 01 |
| TX | 170867901 | 05 | |
| TX | TEXAS CONTROLLED SUBSTANC | N0089582 | 01 |
| Street Address |
2108 N LAURENT ST |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-5451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548463292 | Luciano J Sarabosing Jr., Md, Pa | Pediatrics | 2108 N Laurent St, Victoria, TX 77901-5451 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851668651 | Anne Chau Vo | Pediatrics | 110 Medical Dr Ste 103, Victoria, TX 77904-3127 | 2011-11-21 |
| 1154555928 | Children's Physician Services of South Texas | Pediatrics | 115 Medical Dr Ste 201, Victoria, TX 77904-3105 | 2009-05-08 |
| 1336323203 | Manju Sachdev, Md, Pa | Pediatrics | 1908 N Laurent St Ste 100, Victoria, TX 77901-5458 | 2007-12-27 |
| 1508804121 | Suresh N Pathikonda | Pediatrics | 601 E Airline Rd, Victoria, TX 77901-3926 | 2006-06-04 |
| 1629047006 | Manju Sachdev | Pediatrics | 1908 N Laurent St, #100, Victoria, TX 77901-5457 | 2006-03-16 |
| 1780653162 | Yogesh C Dhingra | Pediatrics | 4304 N Laurent St, Victoria, TX 77901-2741 | 2006-03-16 |
| 1225003296 | Stephen Max Dentler | Pediatrics | 9410 Ne Zac Lentz Pkwy, Suite 202, Victoria, TX 77904-3108 | 2006-02-22 |
| 1942468541 | Sartaj Kadiwala Siddiqui | Pediatrics | 101 Medical Dr, Victoria, TX 77904-3102 | 2008-05-30 |
| 1184809352 | Spring Creek Pediatric Center | Pediatrics | 110 Medical Dr, Suite 104, Victoria, TX 77904-3101 | 2008-01-07 |
| 1841488657 | Stephen M. Dentler, Do, Pa | Pediatrics | 9410 Ne Zac Lentz Pkwy, Suite 202, Victoria, TX 77904-3108 | 2007-10-05 |
| Find all providers in VICTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.