Active NPI
Tesoro Home Visits LLC
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1174090518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | IN PROCESS AND WAITING |
National Provider Directory
National Provider DirectoryLocations
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.