Organization Active NPI

Ronald Gotanco P.a.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1326183153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L9707 Issued in TX
Legal business name
RONALD GOTANCO P.A.
Practice address
7940 Floyd Curl Dr
Suite 1030
San Antonio, TX 78229-3905
Phone
(210) 614-3371
Fax
(210) 614-1055
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald Gotanco, MDNPI 1073542130
Title
Owner
Phone
(210) 757-4641

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X L9707 TX Primary

Addresses

Primary practice location

7940 Floyd Curl Dr
Suite 1030
San Antonio, TX 78229-3905

Mailing address

13314 Voelcker Ranch Dr
San Antonio, TX 78231-2250
Phone (210) 757-4641

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

National Provider Directory

National Provider Directory

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326183153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13314 VOELCKER RANCH DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782312250",
            "telephone_number": "210-757-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR",
            "address_2": "SUITE 1030",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293905",
            "telephone_number": "210-614-3371",
            "fax_number": "210-614-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD GOTANCO P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOTANCO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-757-4641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L9707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "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 Aug 22, 2020; 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.