Organization Active NPI

Cardio Scan Inc

  • Mobile Radiology Clinic/Center
  • San Antonio, TX
National Provider Identifier
1194854547
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
CARDIO SCAN INC
Practice address
8026 Vantage Dr Ste 224
San Antonio, TX 78230-4728
Phone
(210) 979-0563
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Mr. Benjamin Velez, RDCS
Title
President Owner
Phone
(210) 710-5742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X TX Primary

Addresses

Primary practice location

8026 Vantage Dr Ste 224
San Antonio, TX 78230-4728

Mailing address

8026 Vantage Dr Ste 224
San Antonio, TX 78230-4728
Phone (210) 979-0563

Other identifiers 1

IdentifierTypeStateIssuer
164309001MedicaidTX

National Provider Directory

National Provider Directory

Locations

7227 San Pedro Ave
San Antonio, TX 78216
Phone (210) 344-2882

7227 San Pedro Ave
Ste A
San Antonio, TX 78216
Phone (210) 979-0563

11103 San Pedro Ave
Ste 111
San Antonio, TX 78216
Phone (210) 979-0563

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1194854547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8026 VANTAGE DR STE 224",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304728",
            "telephone_number": "210-979-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8026 VANTAGE DR STE 224",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304728",
            "telephone_number": "210-979-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO SCAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "210-710-5742",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164309001",
            "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 Feb 3, 2016; 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.