Organization Active NPI

Nora I Valdes MD PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1336351121
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9444 Issued in TX
Legal business name
NORA I VALDES MD PA
Practice address
4903 Golden Quail Ste 114
San Antonio, TX 78240
Phone
(210) 614-0000
Fax
(210) 641-2441
NPI assigned
May 4, 2007
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Nora I Valdes, MDNPI 1124069406
Title
Owner
Phone
(210) 614-0000

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
Family Medicine Physician 207Q00000X K9444 TX Primary

Addresses

Primary practice location

4903 Golden Quail Ste 114
San Antonio, TX 78240

Mailing address

4903 Golden Quail Ste 114
San Antonio, TX 78240-1585
Phone (210) 614-0000

Other identifiers 2

IdentifierTypeStateIssuer
159973002MedicaidTX
159973001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100811000863 TX Part B Supplier - Clinic/Group Practice 9032243175 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2040 Babcock Rd
Ste 406
San Antonio, TX 78229
Phone (210) 530-1235

4903 Golden Quail
Ste 114
San Antonio, TX 78240
Phone (210) 595-6696

5282 Medical Dr
Ste 600
San Antonio, TX 78229
Phone (210) 375-3399

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1336351121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 GOLDEN QUAIL STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401585",
            "telephone_number": "210-614-0000",
            "fax_number": "210-641-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 GOLDEN QUAIL STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-614-0000",
            "fax_number": "210-641-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA I VALDES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159973002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159973001",
            "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 May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.