Holistic Developmental Peds & Integrative Med, PLLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC

Practice address

4940 Broadway Ste 100
San Antonio, TX 78209-5732

Phone

(210) 403-2343

Fax

(210) 403-2350

NPI assigned

Dec 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jeri L Penkava, MDNPI 1134285430

Title

Sole Owner

Phone

(210) 403-2343

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeri L Penkava, MD

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
  • NPI 1134285430

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1033925789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 BROADWAY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095732",
            "telephone_number": "210-403-2343",
            "fax_number": "210-403-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 BROADWAY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095732",
            "telephone_number": "210-403-2343",
            "fax_number": "210-403-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "PENKAVA",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "210-403-2343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520125301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Garza Holguin, AUD CCCA
• Holguingrado Clinical Services (Be Seen Center for Emotional Wellness)
• Amber L Holisky, FNP-C
• Holistic Aliveness Therapy PLLC
• Holistic Chiropractic
• Holistic Healthcare of South Texas
• Holistic Hospice Care LLC
• Holisticare Health Medical Group LLC
• Holisticvision LLC
• Emily Wing Holladay

• Integrative Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Integrative Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.