Tandi Medical Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K4173 Issued in TX

Legal business name

TANDI MEDICAL CENTER PA

Practice address

10607 Liberty Field
Suite 103
San Antonio, TX 78254

Phone

(210) 999-5586

Fax

(210) 999-5605

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sandra L Nieto, MD

Title

President

Phone

(210) 999-5586

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1376843177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1714",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780231714",
            "telephone_number": "210-999-5586",
            "fax_number": "210-999-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 LIBERTY FIELD",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78254",
            "telephone_number": "210-999-5586",
            "fax_number": "210-999-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDI MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-999-5586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaori Patricia Tanaka, DO
• Kristi K Tanaka, LCSW, DCSW, BCD
• Ali Nicholas Tanari
• Kasey Tanari
• Bruce Alan Tancek, D.D.S.
• Tandi Medical Center PA
• Avnika Tandon, IOM
• Saloni Tandon, DO
• Irwin Alivo Tanedo
• Taneri Meds Trans LLC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.