Organization Active NPI

Salvador P Baylan MD PA

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1447446802
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
E7371 Issued in TX
Legal business name
SALVADOR P BAYLAN MD PA
Practice address
4202 San Pedro Ave
San Antonio, TX 78212
Phone
(210) 731-4100
Fax
(210) 731-4123
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Dr. Salvador P Baylan, MDNPI 1003898628
Title
President
Phone
(210) 731-4100

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X E7371 TX Primary

Addresses

Primary practice location

4202 San Pedro Ave
San Antonio, TX 78212

Mailing address

4202 San Pedro Ave
San Antonio, TX 78212
Phone (210) 731-4100

Other identifiers 1

IdentifierTypeStateIssuer
085478801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713000539 TX Part B Supplier - Clinic/Group Practice 6406882224 Receives reassigned benefits from 1 practitioner
Practice locations: Hondo, TX; San Antonio, TX; Eagle Pass, TX

National Provider Directory

National Provider Directory

Locations

3406 Bob Rogers Dr
Ste 130
Eagle Pass, TX 78852

345 S Adams St
Eagle Pass, TX 78852
Phone (210) 313-8648

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1447446802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78212",
            "telephone_number": "210-731-4100",
            "fax_number": "210-731-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78212",
            "telephone_number": "210-731-4100",
            "fax_number": "210-731-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVADOR P BAYLAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "BAYLAN",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-731-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "E7371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085478801",
            "state": "TX"
        }
    ],
    "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 Jul 2, 2010; 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.