Individual provider Active NPI

Davin Tuazon, AGCNS-BC

  • Clinical Nurse Specialist
  • San Antonio, TX
National Provider Identifier
1316489511
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
AP131344 Issued in TX
Practice address
15102 Jones Maltsberger Rd Ste 101
San Antonio, TX 78247-3367
Phone
(210) 745-0084
Fax
(210) 745-0139
NPI assigned
Nov 6, 2016
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP131344 TX Primary

Addresses

Primary practice location

15102 Jones Maltsberger Rd Ste 101
San Antonio, TX 78247-3367

Mailing address

7113 San Pedro Ave # 316
San Antonio, TX 78216-6219
Phone (210) 745-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618001668 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 5799030680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo Visiting Physicians LLCGroup PAC ID 0143617381, 13 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78216
Phone (210) 462-1060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131344TXMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Visiting Physicians LLC CurrentSince Nov 1, 2022 Accepting new patients
Mmcare - Hospice LLC PastSince Aug 13, 2023 Accepting new patients

Locations

404 E Ramsey Rd
Ste 204
San Antonio, TX 78216
Phone (210) 462-1060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1316489511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 SAN PEDRO AVE # 316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166219",
            "telephone_number": "210-745-0084",
            "fax_number": "210-745-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15102 JONES MALTSBERGER RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473367",
            "telephone_number": "210-745-0084",
            "fax_number": "210-745-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUAZON",
        "first_name": "DAVIN",
        "credential": "AGCNS-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-06",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP131344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.