Organization Active NPI

Community Medicine Associates

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1205005154
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
231757 Issued in TX
Legal business name
COMMUNITY MEDICINE ASSOCIATES
Practice address
4503 S Zarzamora St
San Antonio, TX 78211-1207
Phone
(210) 358-8820
Fax
(210) 358-8143
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Lisa Camacho, CPCS
Title
Medical/Dental Staff Coordinator
Phone
(210) 358-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 231757 TX Primary

Addresses

Primary practice location

4503 S Zarzamora St
San Antonio, TX 78211-1207

Mailing address

4503 S Zarzamora St
San Antonio, TX 78211-1207
Phone (210) 358-8820

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1205005154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111207",
            "telephone_number": "210-358-8820",
            "fax_number": "210-358-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111207",
            "telephone_number": "210-358-8820",
            "fax_number": "210-358-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEDICAL/DENTAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "210-358-1654",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "231757",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 2008; 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.