Organization Active NPI

Tesoro Home Visits LLC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174090518
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TESORO HOME VISITS LLC
Practice address
18235 Bulverde Rd Ste 105-27
San Antonio, TX 78259-3765
Phone
(210) 718-4445
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Teja Swaroop Yarlagadda
Title
President
Phone
(210) 718-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

18235 Bulverde Rd Ste 105-27
San Antonio, TX 78259-3765

Mailing address

18235 Bulverde Rd Ste 105-27
San Antonio, TX 78259-3765

Other identifiers 1

IdentifierTypeStateIssuer
000000000OtherIN PROCESS AND WAITING

National Provider Directory

National Provider Directory

Locations

18235 Bulverde Rd
Ste 10527
San Antonio, TX 78259
Phone (210) 718-4445

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1174090518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18235 BULVERDE RD STE 105-27",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18235 BULVERDE RD STE 105-27",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593765",
            "telephone_number": "210-718-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESORO HOME VISITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "YARLAGADDA",
        "authorized_official_first_name": "TEJA SWAROOP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-718-4445"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN PROCESS AND WAITING",
            "identifier": "000000000",
            "state": null
        }
    ],
    "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 24, 2018; 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.