Active NPI
Angelo Vincent Ciaraglia, MD
- Student in an Organized Health Care Education/Training Program
- San Antonio, TX
National Provider Identifier
1386106904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (250) 358-4000
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
1819 Via Invierno
Roseville, CA 95747-6702
Phone (916) 612-1745
Other practice location 1
1819 Via Invierno
Roseville, CA 95747-6702
Phone (916) 612-1745
Other practice location 2
8639 Fairhaven St Apt 3111
San Antonio, TX 78229-2470
Phone (916) 612-1745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1386106904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 VIA INVIERNO",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957476702",
"telephone_number": "916-612-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "250-358-4000"
}
],
"practiceLocations": [
{
"address_1": "1819 Via Invierno",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "957476702",
"country_code": "US",
"telephone_number": "916-612-1745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8639 Fairhaven St Apt 3111",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782292470",
"country_code": "US",
"telephone_number": "916-612-1745",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIARAGLIA",
"first_name": "ANGELO",
"middle_name": "VINCENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.