NPIMap

Organization Active NPI

San Antonio Pediatric Assciates PA

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1124283627
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SAN ANTONIO PEDIATRIC ASSCIATES PA
Practice address
315 N San Saba Ste 1075
San Antonio, TX 78207-3155
Phone
(210) 223-3543
Fax
(210) 227-0282
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Clevert Tseng, MD
Title
Ceo
Phone
(210) 223-3543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

315 N San Saba Ste 1075
San Antonio, TX 78207-3155

Mailing address

315 N San Saba
#1075
San Antonio, TX 78207-3155
Phone (210) 223-3543

Other identifiers 1

IdentifierTypeStateIssuer
093706203MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Pediatric Assciates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1124283627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA",
            "address_2": "#1075",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073155",
            "telephone_number": "210-223-3543",
            "fax_number": "210-227-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA STE 1075",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073155",
            "telephone_number": "210-223-3543",
            "fax_number": "210-227-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PEDIATRIC ASSCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "TSENG",
        "authorized_official_first_name": "CLEVERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-223-3543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093706203",
            "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 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.