Organization Active NPI

Jorge C Magallon MD PA

  • Interventional Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1396181384
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
JORGE C MAGALLON MD PA
Practice address
311 Camden St
102
San Antonio, TX 78215-2012
Phone
(210) 281-9800
NPI assigned
May 16, 2013
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Jorge C Magallon, MDNPI 1134154172
Title
Owner
Phone
(210) 281-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

311 Camden St
102
San Antonio, TX 78215-2012

Mailing address

12446 West Ave
200
San Antonio, TX 78216-2517

National Provider Directory

National Provider Directory

Locations

7003 S New Braunfels Ave
Ste 104
San Antonio, TX 78223
Phone (210) 209-8666

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": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1396181384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE",
            "address_2": "200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-281-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE C MAGALLON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "MAGALLON",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-281-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "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 Nov 5, 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.

Verify at the official NPI Registry.