Individual provider Active NPI

Cristina Lizeth Almanza Camacho, SA-C

  • Surgical Assistant
  • San Antonio, TX
National Provider Identifier
1437663002
Registry record updated Nov 18, 2017
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Feb 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
17-544 Issued in TX
Practice address
12222 Vance Jackson Rd Apt 826
San Antonio, TX 78230-5941
Phone
(210) 982-6679
NPI assigned
Nov 18, 2017
Last updated
Nov 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 17-544 TX Primary

Addresses

Primary practice location

12222 Vance Jackson Rd Apt 826
San Antonio, TX 78230-5941

Mailing address

12222 Vance Jackson Rd Apt 826
San Antonio, TX 78230-5941
Phone (210) 982-6679

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
17-544TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510963200000",
    "number": "1437663002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 VANCE JACKSON RD APT 826",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305941",
            "telephone_number": "210-982-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 VANCE JACKSON RD APT 826",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305941",
            "telephone_number": "210-982-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMANZA CAMACHO",
        "first_name": "CRISTINA",
        "middle_name": "LIZETH",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-18",
        "last_updated": "2017-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "17-544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.