Christus Santa Rosa Pasc-San Antonio LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008396 Issued in TX

Legal business name

CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC

Practice address

502 Madison Oak Dr Ste 500
San Antonio, TX 78258-4193

Phone

(210) 499-6700

Fax

(210) 499-6701

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Gary K Ruff

Title

President

Phone

(469) 282-2637

Specialties & licenses 1

Addresses

Other names 2

• CHRISTUS SURGERY CENTER - STONE OAK Doing business as
• CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center-Stone Oak Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Christus Santa Rosa Pasc-San Antonio LLC

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1154369114

  1153366927

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Christus Santa Rosa Pasc-San Antonio LLC

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1154369114

  O20050622000637

  Same enrollment

Listed as

Christs Surgery Center Stone OakCCN 45C0001440

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1194787218

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1164448486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE LOOP 410 STE 475",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164720",
            "telephone_number": "210-805-3203",
            "fax_number": "210-824-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DR STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584193",
            "telephone_number": "210-499-6700",
            "fax_number": "210-499-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-282-2637"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS SURGERY CENTER - STONE OAK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center-Stone Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christus Santa Rosa Health Care Corporation
• Christus Santa Rosa Health Care Corporation
• Christus Santa Rosa Health Care Corporation
• Christus Santa Rosa Health Care Corporation
• Christus Santa Rosa Pasc-San Antonio LLC
• Christus Santa Rosa Surgery Center L.L.P.
• Christus Spohn Family Health Center Freer
• Christus Surgery Center-Westover Hills LLC
• Christus Trinity Clinic
• Garrett Michael Christy, MD

• All providers in San Antonio, TX
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.