Individual provider Active NPI

Alberto Samuel Carranza, M.D., F.A.A.P.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1073507810
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L8640 Issued in TX
Practice address
333 N Santa Rosa Ave
San Antonio, TX 78207-3108
Phone
(210) 704-2190
Fax
(210) 704-3374
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L8640 TX Primary

Addresses

Primary practice location

333 N Santa Rosa Ave
San Antonio, TX 78207-3108

Mailing address

315 N San Saba
Suite 1135
San Antonio, TX 78207-3154
Phone (210) 704-2937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041022000172 TX Practitioner - Pediatric Medicine 9931160066 Reassigns benefits to 3 organizations
I20211129001546 WA Practitioner - Pediatric Medicine 9931160066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L8640TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC CurrentSince Jul 1, 2021 Accepting new patients
Seattle Childrens Hospital CurrentSince Oct 23, 2021 Accepting new patients
Community Medicine Associates Pediatrics CurrentSince Oct 1, 2021 Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Jul 14, 2014 Accepting new patients
Seattle Children'S Hospital Current Accepting new patients
Acs Primary Care Physicians Southwest, PA Past Accepting new patients
Emergency Pediatric Physician MGMT LLC Past Accepting new patients
Seattle Children'S Hospital Past Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

903 W Martin St
#B
San Antonio, TX 78207
Phone (210) 358-3441

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: acarranza164674@direct.seattlechildrens.org

Organizations & group practices 8

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1073507810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA",
            "address_2": "SUITE 1135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073154",
            "telephone_number": "210-704-2937",
            "fax_number": "210-704-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-2190",
            "fax_number": "210-704-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "ALBERTO",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.