Primo Clinicians PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PRIMO CLINICIANS PLLC

Practice address

18911 Hardy Oak Blvd. Ste 213
San Antonio, TX 78258

Phone

(210) 400-6930

Fax

(210) 475-3361

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Lugi Blasini, RN

Title

Ceo

Phone

(210) 400-6930

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Edwards, D.O.

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
  • NPI 1700955176
  Medicare reassignment NPD
• Shante Renee Spaulding, FNP-C

  • Family Nurse Practitioner
  • Universal City, TX
  • NPI 1427664135
  Medicare reassignment NPD
• Christina Ann Vela

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1083237739
  Medicare reassignment NPD
• David John Irving, PA-C

  • Physician Assistant
  • Jbsa Ft Sam Houston, TX
  • NPI 1013248053
  Medicare reassignment
• Crystal Nichole Rubio, PA

  • Physician Assistant
  • Shavano Park, TX
  • NPI 1346978673
  Medicare reassignment

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1336847839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18911 HARDY OAK BLVD. STE 213",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-400-6930",
            "fax_number": "210-475-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 HARDY OAK BLVD. STE 213",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-400-6930",
            "fax_number": "210-475-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO CLINICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BLASINI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LUGI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-400-6930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Alicia Primera, CCN
• Primetrack Health LLC
• Primetrack Wellness and Rehab
• Sarah Primiano, CCC
• Maria Danielle Primm-Ballard, LPC
• Primo Dental PLLC
• Primway Dental, PLLC
• Primway Medical, PLLC
• Adriana Prince, IONM
• Annabella Prince, MSN, RN

• Physical Medicine & Rehabilitation Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.