Organization Active NPI

San Antonio Pain Consultants PA

  • Legal Medicine
  • San Antonio, TX
National Provider Identifier
1437308509
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
M3802 Issued in TX
Legal business name
SAN ANTONIO PAIN CONSULTANTS PA
Practice address
3903 Wiseman Blvd Ste 117
San Antonio, TX 78251-4402
Phone
(210) 861-5461
Fax
(210) 773-1808
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Dr. Darius Zagunis, MDNPI 1174542286
Title
Owner
Phone
(210) 268-8270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X M3802 TX Primary

Addresses

Primary practice location

3903 Wiseman Blvd Ste 117
San Antonio, TX 78251-4402

Mailing address

PO Box 592239
San Antonio, TX 78259-0161
Phone (210) 963-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090511000316 TX Part B Supplier - Clinic/Group Practice 8022166552 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX
O20151029001260 TX DME Supplier - Physician - Interventional Pain Management 8022166552 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

3903 Wiseman Blvd
Ste 117
San Antonio, TX 78251
Phone (210) 861-5461

3903 Wiseman Blvd
Ste 121
San Antonio, TX 78251
Phone (210) 617-6341

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1437308509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592239",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590161",
            "telephone_number": "210-963-5100",
            "fax_number": "210-963-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514402",
            "telephone_number": "210-861-5461",
            "fax_number": "210-773-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PAIN CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "ZAGUNIS",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-268-8270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "M3802",
            "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 Sep 26, 2023; 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.