Cibolo-South Texas Center for Pediatric Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CIBOLO-SOUTH TEXAS CENTER FOR PEDIATRIC CARE

Practice address

580 Cibolo Valley Drive
Suite 221
Cibolo, TX 78108

Phone

(210) 561-3100

Fax

(210) 224-6367

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Dianna M Burns, MD

Title

Medical Director

Phone

(210) 561-3100

Specialties & licenses 1

Addresses

Locations

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

• Jennifer Ybarra Dimas, MSN, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • San Antonio, TX
  • NPI 1548725658
  NPD (past)
• Karen Lee Garay, M.D.

  • Pediatrics Physician
  • Aurora, CO
  • NPI 1811428147

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1184102147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 SAN PEDRO AVE SUITE",
            "address_2": "SUITE 150",
            "city": "BEXAR",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-561-3100",
            "fax_number": "210-224-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CIBOLO VALLEY DRIVE",
            "address_2": "SUITE 221",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "78108",
            "telephone_number": "210-561-3100",
            "fax_number": "210-224-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIBOLO-SOUTH TEXAS CENTER FOR PEDIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-561-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cibolo Denter Center PLLC
• Cibolo Emergency Physicians, PLLC
• Cibolo Eye Care PLLC
• Cibolo Modern Dentistry, PC
• Cibolo Pediatric Dentistry, PLLC
• Coastal ER IX, LLC
• Yolanda Lynn Cockfield, SPEECH THERAPIST
• Julia Marie Conn, BCBA, LBA
• Counseling Inspirations PLLC
• Roy Cox

• All providers in Cibolo, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.