Individual provider Active NPI

Victoria Remilekun Delano, DO

  • Student in an Organized Health Care Education/Training Program
  • San Antonio, TX
National Provider Identifier
1174050264
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4499 Medical Dr Ste 171
San Antonio, TX 78229-3789
Phone
(210) 575-7002
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP137116 TX
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4499 Medical Dr Ste 171
San Antonio, TX 78229-3789

Mailing address

4499 Medical Dr Ste 171
San Antonio, TX 78229-3789
Phone (210) 575-7002

Other practice location 1

302 W Rector St
San Antonio, TX 78216-5718
Phone (210) 358-0800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vfadare30089@uhssa.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328002375 TX Practitioner - Nurse Practitioner 4183964117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists CurrentSince Mar 4, 2021 Accepting new patients
Community Medicine Associates Nurse Practitioner CurrentSince Mar 15, 2019 Accepting new patients

Locations

302 W Rector St
San Antonio, TX 78216
Phone (210) 358-0800

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: victoria.delano@hca7.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1174050264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 171",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293789",
            "telephone_number": "210-575-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 171",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293789",
            "telephone_number": "210-575-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W Rector St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782165718",
            "country_code": "US",
            "telephone_number": "210-358-0800",
            "fax_number": "210-358-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELANO",
        "first_name": "VICTORIA",
        "middle_name": "REMILEKUN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137116",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vfadare30089@uhssa.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "302 W Rector St",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782165718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.