Organization Active NPI

Advanced Clinician Specialty Group PLLC

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1235660507
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ADVANCED CLINICIAN SPECIALTY GROUP PLLC
Practice address
19338 Babcock Rd Unit 108109
San Antonio, TX 78255-2478
Phone
(210) 446-8021
NPI assigned
Mar 27, 2017
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Jose A Ramos, ACNP-BC
Title
Nurse Practitioner/Owner
Phone
(210) 446-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

19338 Babcock Rd Unit 108109
San Antonio, TX 78255-2478

Mailing address

17503 La Cantera Pkwy
104-409
San Antonio, TX 78257-8207
Phone (210) 446-8021

National Provider Directory

National Provider Directory

Locations

17503 La Cantera Pkwy
#101409
San Antonio, TX 78257

17503 La Cantera Pkwy
#104409
San Antonio, TX 78257

19338 Babcock Rd
Ste 108109
San Antonio, TX 78255
Phone (210) 988-0405

19338 Babcock Rd
Unit 108109
San Antonio, TX 78255
Phone (210) 446-8021

19338 Babcock Rd
Unit 109109
San Antonio, TX 78255

2819 NW Loop 410
San Antonio, TX 78230
Phone (210) 480-0705

9130 Wurzbach Rd
Ste 102
San Antonio, TX 78240
Phone (210) 481-4455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1235660507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY",
            "address_2": "104-409",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-446-8021",
            "fax_number": "210-579-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19338 BABCOCK RD UNIT 108109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552478",
            "telephone_number": "210-446-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICIAN SPECIALTY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "210-446-8021",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Mar 22, 2022; 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.