Active NPI
Gabriela Ivonne Vazquez Santos, M.D.
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q8176
- Practice address
- 2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894 - Phone
- (210) 705-5100
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q8176 | TX | Primary |
Addresses
Primary practice location
2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894
Mailing address
919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711
Other practice location 1
4640 9th Ave Ste 100
Port Arthur, TX 77642-5820
Phone (409) 982-6461
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02601737 | Other | TX | MCRR |
| 363041001 | Medicaid | TX | |
| 636041003 | Medicaid | TX |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Family Medicine | Current | Accepting new patients |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
Locations
3030 North St
Ste 420
Beaumont, TX 77702
Phone (409) 835-2900
5875 N Major Dr
Beaumont, TX 77713
Phone (409) 892-2262
919 Hidden Rdg
Irving, TX 75038
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
4640 9th Ave
Ste 100
Port Arthur, TX 77642
Phone (409) 982-6461
2833 Babcock Rd
Ste 203
San Antonio, TX 78229
Phone (210) 267-1709
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- gvazquezsantos242841@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1184065815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 HIDDEN RDG",
"city": "IRVING",
"state": "TX",
"postal_code": "750383813",
"telephone_number": "469-282-2711",
"fax_number": "469-282-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2833 BABCOCK RD STE 203",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294894",
"telephone_number": "210-705-5100"
}
],
"practiceLocations": [
{
"address_1": "4640 9th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Port Arthur",
"state": "TX",
"postal_code": "776425820",
"country_code": "US",
"telephone_number": "409-982-6461",
"fax_number": "409-983-7461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAZQUEZ SANTOS",
"first_name": "GABRIELA",
"middle_name": "IVONNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q8176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCRR",
"identifier": "P02601737",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363041001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "636041003",
"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 Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.