Individual provider Active NPI

Jesus Aranda-Cano, PSY.D.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1003106543
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34658 Issued in TX
Practice address
7400 Blanco Rd
Suite 126
San Antonio, TX 78216-4360
Phone
(210) 699-8700
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34658 TX Primary

Addresses

Primary practice location

7400 Blanco Rd
Suite 126
San Antonio, TX 78216-4360

Mailing address

7400 Blanco Rd
Suite 126
San Antonio, TX 78216-4360
Phone (210) 699-8700

Other identifiers 2

IdentifierTypeStateIssuer
280834701MedicaidTX
88225AOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT, WY, MT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110601000194 TX Practitioner - Clinical Psychologist 5496932469 Reassigns benefits to 3 organizations
I20200825002076 UT Practitioner - Clinical Psychologist 5496932469 Reassigns benefits to 2 organizations
I20210525002968 WY Practitioner - Clinical Psychologist 5496932469 Reassigns benefits to 2 organizations
I20250122003352 MT Practitioner - Clinical Psychologist 5496932469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Medical Services Southeast LLCGroup PAC ID 4284075722, 29 clinicians
Centric Physicians Group PLLCGroup PAC ID 1951614726, 22 clinicians
Centric Physicians Intermountain Region, PLLCGroup PAC ID 2466880851, 10 clinicians
Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians

Practice addresses (Care Compare)

1500 32ND St S
Great Falls, MT 59405-5300
Phone (888) 964-6681

17 Old San Antonio Rd
Suite 201
Boerne, TX 78006-3495
Phone (830) 214-7714

200 N Oregon St
Suite 3624
Dillon, MT 59725-3624
Phone (877) 541-0665

20450 Huebner Rd
San Antonio, TX 78258-3942
Phone (877) 541-0665

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

32 W 200
Suite 410
Salt Lake City, UT 84101-1603
Phone (830) 267-4575

5438 Presidio Pkwy
San Antonio, TX 78249-3495
Phone (830) 267-4575

7400 Crestway Rd
San Antonio, TX 78239-3104
Phone (830) 267-4575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34658TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coe-Medical PLLC CurrentSince Feb 1, 2016 Accepting new patients
Healthdrive Medical Services Intermountain, PC Clinical CurrentSince Jan 1, 2026 Accepting new patients
Coe Medical Intermountain PLLC CurrentSince Aug 12, 2020 Accepting new patients
Healthdrive Medical Services of Texas LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

200 N Oregon St
Ste 3624
Dillon, MT 59725

200 N Oregon St
#3624
Dillon, MT 59725
Phone (406) 683-5105

1500 32nd St S
Great Falls, MT 59405
Phone (406) 761-4300

6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141

113 Pleasant Valley Dr
Ste 210
Boerne, TX 78006
Phone (210) 872-4710

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

416 N State St
Hurricane, UT 84737
Phone (435) 635-9833

1205 E Bonner Way
Millcreek, UT 84117
Phone (801) 262-2908

32 W 200 S
Slc, UT 84101
Phone (801) 616-9259

1542 W 1170 N
St George, UT 84770
Phone (435) 634-8321

4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1003106543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BLANCO RD",
            "address_2": "SUITE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164360",
            "telephone_number": "210-699-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BLANCO RD",
            "address_2": "SUITE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164360",
            "telephone_number": "210-699-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANDA-CANO",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280834701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88225A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.