Organization Active NPI

Klarisana

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1477909208
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59198 Issued in TX
Legal business name
KLARISANA
Practice address
6335 Camp Bullis Rd
San Antonio, TX 78257-9720
Phone
(210) 556-1430
Fax
(888) 504-2390
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Carl J Bonnett, M.D.NPI 1427007327
Title
Owner
Phone
(210) 556-1430

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 59198 TX Primary

Addresses

Primary practice location

6335 Camp Bullis Rd
San Antonio, TX 78257-9720

Mailing address

6335 Camp Bullis Rd
San Antonio, TX 78257-9720
Phone (210) 556-1430

National Provider Directory

National Provider Directory
Tax ID family
Klarisana Physician Services PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6335 Camp Bullis Rd
San Antonio, TX 78257
Phone (210) 556-1430

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14488/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1477909208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 CAMP BULLIS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579720",
            "telephone_number": "210-556-1430",
            "fax_number": "888-504-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 CAMP BULLIS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579720",
            "telephone_number": "210-556-1430",
            "fax_number": "888-504-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLARISANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "BONNETT",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-556-1430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59198",
            "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 May 11, 2016; 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.