Organization Active NPI

Clinica del Norte Pediatrics PLLC

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1144350380
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CLINICA DEL NORTE PEDIATRICS PLLC
Practice address
102 Babcock Rd
Suite 100
San Antonio, TX 78201-3806
Phone
(210) 572-1430
Fax
(210) 572-1434
NPI assigned
Mar 6, 2007
Last updated
Oct 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Mr. Eduardo M SanchezNPI 1033131222
Title
Managing Member
Phone
(210) 572-1430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

102 Babcock Rd
Suite 100
San Antonio, TX 78201-3806

Mailing address

102 Babcock Rd
Suite 100
San Antonio, TX 78201-3806
Phone (210) 572-1430

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1003363Clinica del Norte Pediatrics PLLC102 Babcock Road Suite 100, San Antonio, TX 78201Certificate of waiverJul 25, 2028

National Provider Directory

National Provider Directory

Locations

102 Babcock Rd
Ste 100
San Antonio, TX 78201
Phone (210) 572-1430

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1144350380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BABCOCK RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013806",
            "telephone_number": "210-572-1430",
            "fax_number": "210-572-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BABCOCK RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013806",
            "telephone_number": "210-572-1430",
            "fax_number": "210-572-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DEL NORTE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-572-1430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.