Organization Active NPI

SBJW Medical PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1457744815
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J7900 Issued in TX
Legal business name
SBJW MEDICAL PA
Practice address
19016 Stone Oak Pkwy Ste 190
San Antonio, TX 78258-3387
Phone
(210) 490-4600
Fax
(210) 490-4651
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Dr. Salvatore A Barbaro III, MD
Title
President
Phone
(210) 490-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X J7900 TX Primary

Addresses

Primary practice location

19016 Stone Oak Pkwy Ste 190
San Antonio, TX 78258-3387

Mailing address

19016 Stone Oak Pkwy
Ste 190
San Antonio, TX 78258-3280
Phone (210) 490-4600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1457744815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY",
            "address_2": "STE 190",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583280",
            "telephone_number": "210-490-4600",
            "fax_number": "210-490-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY STE 190",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583387",
            "telephone_number": "210-490-4600",
            "fax_number": "210-490-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBJW MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "BARBARO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-490-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7900",
            "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 Jan 23, 2020; 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.