NPIMap

Organization Active NPI

Fresenius Medical Care West San Antonio, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Antonio, TX
National Provider Identifier
1245997386
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE WEST SAN ANTONIO, LLC
Practice address
11040 W Ih 10 Ste 103
San Antonio, TX 78230-1080
Phone
(830) 428-0524
NPI assigned
Nov 23, 2021
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Barry L Blanton
Title
Vice President
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

11040 W Ih 10 Ste 103
San Antonio, TX 78230-1080

Mailing address

11040 W Ih 10 Ste 103
San Antonio, TX 78230-1080
Phone (830) 428-0524

Other practice location 1

2795 Bulverde Rd Ste B
Bulverde, TX 78163-2195
Phone (830) 428-0524

Other names 1

  • Fresenius Kidney Care Bulverde Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fresenius Kidney Care Bulverde2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1245997386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 W IH 10 STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301080",
            "telephone_number": "830-428-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 W IH 10 STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301080",
            "telephone_number": "830-428-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2795 Bulverde Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bulverde",
            "state": "TX",
            "postal_code": "781632195",
            "country_code": "US",
            "telephone_number": "830-428-0524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE WEST SAN ANTONIO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Kidney Care Bulverde",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresenius Kidney Care Bulverde",
            "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 Mar 7, 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.