Organization Active NPI

Ya Sham PA

  • Specialist
  • San Antonio, TX
National Provider Identifier
1225340102
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M9349 Issued in TX
Legal business name
YA SHAM PA
Practice address
4910 Golden Quail
Suite 180/190
San Antonio, TX 78240-1540
Phone
(210) 789-2007
Fax
(210) 855-4666
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Julie Garza
Title
Billing Manager
Phone
(210) 789-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X M9349 TX Primary

Addresses

Primary practice location

4910 Golden Quail
Suite 180/190
San Antonio, TX 78240-1540

Mailing address

4910 Golden Quail
Suite 180/190
San Antonio, TX 78240-1540

Other names 1

  • SARDINI ARTHRITIS CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110301000994 TX Part B Supplier - Clinic/Group Practice 7214118827 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4910 Golden Quail
Ste 180
San Antonio, TX 78240
Phone (210) 690-9090

4910 Golden Quail
Ste 180190
San Antonio, TX 78240
Phone (210) 690-9090

4910 Golden Quail
San Antonio, TX 78240
Phone (210) 615-8495

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1225340102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 GOLDEN QUAIL",
            "address_2": "SUITE 180/190",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 GOLDEN QUAIL",
            "address_2": "SUITE 180/190",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401540",
            "telephone_number": "210-789-2007",
            "fax_number": "210-855-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YA SHAM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "210-789-2007"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M9349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARDINI ARTHRITIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.