San Antonio Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

DR00054747 Issued in CO

Legal business name

SAN ANTONIO MEDICAL CENTER LLC

Practice address

1701 S Federal Blvd
Unit D
Denver, CO 80219-4898

Phone

(303) 936-1760

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Antony Nguyen Vanbang, MD

Title

Manager

Phone

(720) 666-5116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jennifer Skinner, PA-C

  • Physician Assistant
  • Aurora, CO
  • NPI 1891458253
  NPD (past)

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1225417199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S FEDERAL BLVD",
            "address_2": "UNIT D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194898",
            "telephone_number": "303-936-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S FEDERAL BLVD",
            "address_2": "UNIT D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194898",
            "telephone_number": "303-936-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "VANBANG",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-666-5116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR00054747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50085034",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evlyn Samuel
• Mary Samuel, RN
• Merlin Arun Samuel, PT
• Heather Marie Samuels, LPN
• San Antonio Medical Center
• Marly San, RN
• Rebecca Elizabeth Sanagorski, FNP-BC
• Sanare PSR PLLC
• Sanare PSR PLLC
• Barbara Anne Sanborn, M.A., CCC-SLP

• General Practice Physician in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.