Active NPI
Jacqueline Vizcaino, AU.D.
- Audiologist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81162
- Practice address
- 4647 Medical Dr
San Antonio, TX 78229-4403 - Phone
- (210) 358-4583
- Fax
- (210) 358-2653
- NPI assigned
- Jun 25, 2020
- Last updated
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 81162 | TX | |
| Audiologist | 231H00000X | 81162 | TX | Primary |
Addresses
Primary practice location
4647 Medical Dr
San Antonio, TX 78229-4403
Mailing address
170 Babcock Rd
San Antonio, TX 78201-3806
Phone (210) 695-4708
Other practice location 1
170 Babcock Rd
San Antonio, TX 78201-3806
Phone (210) 695-4708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21031 Market RDG
Suite 2
San Antonio, TX 78258-2483
Phone (210) 239-5995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81162 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Current | Accepting new patients | |
| Acro Audiology Hearing Care Center | Audiologist | Current | Accepting new patients |
| Pain Management Specialists | Current | Accepting new patients |
Locations
111 W Hornbeck Blvd
Fort Stockton, TX 79735
109 W Hornbeck Blvd
Fort Stockton, TX 79735
Phone (432) 244-4311
21031 Market Rdg
Ste 2
San Antonio, TX 78258
Phone (210) 239-5995
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- San Antonio, TX
- NPI 1609494855
-
dba University Medicine Associates
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
dba Medical Practice
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1922617125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1417574476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 BABCOCK RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782013806",
"telephone_number": "210-695-4708",
"fax_number": "210-695-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294403",
"telephone_number": "210-358-4583",
"fax_number": "210-358-2653"
}
],
"practiceLocations": [
{
"address_1": "170 Babcock Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782013806",
"country_code": "US",
"telephone_number": "210-695-4708",
"fax_number": "210-695-4706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIZCAINO",
"first_name": "JACQUELINE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "81162",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81162",
"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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.