Organization Active NPI

Apsley Medical Group, P.a.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1487971867
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G4792 Issued in TX
Legal business name
APSLEY MEDICAL GROUP, P.A.
Practice address
4435 Dezavala
San Antonio, TX 78249-2040
Phone
(210) 694-4081
Fax
(210) 696-8053
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Sara Jane Apsley Ambriz, D.O.NPI 1942205919
Title
Owner
Phone
(210) 694-4081

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G4792 TX Primary

Addresses

Primary practice location

4435 Dezavala
San Antonio, TX 78249-2040

Mailing address

4435 Dezavala
San Antonio, TX 78249-2040
Phone (210) 694-4081

Other identifiers 1

IdentifierTypeStateIssuer
2158131-01MedicaidTX

Other names 1

  • DeZavala Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100810000358 TX Part B Supplier - Clinic/Group Practice 4385778588 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2008626Apsley Medical Group PA4435 Dezavala Road, San Antonio, TX 78249Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory

Locations

4435 De Zavala Rd
San Antonio, TX 78249
Phone (210) 694-4081

Practitioners & affiliated clinicians

Practitioners 3

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": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1487971867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 DEZAVALA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492040",
            "telephone_number": "210-694-4081",
            "fax_number": "210-696-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 DEZAVALA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492040",
            "telephone_number": "210-694-4081",
            "fax_number": "210-696-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APSLEY MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "APSLEY AMBRIZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-694-4081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G4792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158131-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeZavala Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.