Active NPI
Kathia a. Ortiz-Cantillo MD PA
- Pulmonary Disease Physician
- San Antonio, TX
National Provider Identifier
1114176583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD2006-0058
- Legal business name
- KATHIA A. ORTIZ-CANTILLO MD PA
- Practice address
- 4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306 - Phone
- (210) 692-9400
- Fax
- (210) 692-9601
- NPI assigned
- Sep 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Claire Clark
- Title
- Practice Manager
- Phone
- (210) 692-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD2006-0058 | NM | Primary |
Addresses
Primary practice location
4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306
Mailing address
4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306
Phone (210) 692-9400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO8282 | Other | TX | RAILROAD MEDICARE |
| 0033SD | Other | TX | BCBS |
| 202073701 | Medicaid | TX | |
| OA3250 | Other | TX | MEDICARE NUMBER |
National Provider Directory
National Provider DirectoryLocations
4410 Medical Dr
Ste 440
San Antonio, TX 78229
Phone (210) 692-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248739200000",
"number": "1114176583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR",
"address_2": "SUITE 440",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296306",
"telephone_number": "210-692-9400",
"fax_number": "210-692-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR",
"address_2": "SUITE 440",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296306",
"telephone_number": "210-692-9400",
"fax_number": "210-692-9601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHIA A. ORTIZ-CANTILLO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-10",
"last_updated": "2009-07-28",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "210-692-9400",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NM",
"license": "MD2006-0058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DO8282",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0033SD",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202073701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "OA3250",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.