Organization Active NPI

Elite Rejuvenation Clinic

  • Adult Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1295691160
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
ELITE REJUVENATION CLINIC
Practice address
9258 Culebra Rd
San Antonio, TX 78251-2871
Phone
(210) 425-9055
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Ms. Elaine Loretta Zamora, FNP-CNPI 1497156566
Title
Family Nurse Practitioner - Owner
Phone
(210) 425-9055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

9258 Culebra Rd
San Antonio, TX 78251-2871

Mailing address

1104 Clover CT
Adkins, TX 78101-2601
Phone (210) 425-9055

National Provider Directory

National Provider Directory

Locations

9258 Culebra Rd
San Antonio, TX 78251
Phone (210) 425-9055

Practitioners & affiliated clinicians

Practitioners 1

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": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1295691160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CLOVER CT",
            "city": "ADKINS",
            "state": "TX",
            "postal_code": "781012601",
            "telephone_number": "210-425-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9258 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512871",
            "telephone_number": "210-425-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REJUVENATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-04",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "LORETTA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER - OWNER",
        "authorized_official_telephone_number": "210-425-9055",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "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 Jan 5, 2026; 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.