NPIMap

Organization Active NPI

City of San Antonio Texas

  • State or Local Public Health Clinic/Center
  • San Antonio, TX
National Provider Identifier
1164597852
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CITY OF SAN ANTONIO TEXAS
Practice address
512 E Highland Blvd # 150
San Antonio, TX 78210-3521
Phone
(210) 207-8830
Fax
(210) 207-8999
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Tiffany Haynes
Title
Billing and Coding Specialist
Phone
(210) 207-8689

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

512 E Highland Blvd # 150
San Antonio, TX 78210-3521

Mailing address

100 W Houston St FL 14
San Antonio, TX 78205-1414
Phone (210) 207-8689

Other identifiers 2

IdentifierTypeStateIssuer
082426001MedicaidTX
082426002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050121000675 TX Part B Supplier - Clinic/Group Practice 2062461528 Receives reassigned benefits from 1 practitioner
4 other NPIs on this enrollment
Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
City of San Antonio Metropolitan Health District Pci SWB Branch Clinic44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

512 E Highland Blvd
#150
San Antonio, TX 78210
Phone (210) 207-8830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1164597852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HOUSTON ST FL 14",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051414",
            "telephone_number": "210-207-8689",
            "fax_number": "210-207-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E HIGHLAND BLVD # 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782103521",
            "telephone_number": "210-207-8830",
            "fax_number": "210-207-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAN ANTONIO TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BILLING AND CODING SPECIALIST",
        "authorized_official_telephone_number": "210-207-8689"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082426001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082426002",
            "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 Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.