Active NPI
Dr Carlos Cardenas PLLC
- Gynecology Physician
- San Antonio, TX
National Provider Identifier
1497422984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- DR CARLOS CARDENAS PLLC
- Practice address
- 1303 McCullough Ave Ste 533
San Antonio, TX 78212-5607 - Phone
- (210) 465-5545
- Fax
- (210) 742-9605
- NPI assigned
- Aug 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia Gonzalez
- Title
- Office Manager
- Phone
- (210) 260-7102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
1303 McCullough Ave Ste 533
San Antonio, TX 78212-5607
Mailing address
609 Grandview PL
San Antonio, TX 78209-5417
Phone (210) 413-8890
Other names 1
- DR C VIP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2238628 | Dr Carlos Cardenas, PLLC | Provider-performed microscopy | Oct 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
222 W Cypress St
#100
San Antonio, TX 78212
1303 McCullough Ave
Ste 533
San Antonio, TX 78212
Phone (210) 226-5229
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- San Antonio, TX
- NPI 1487643664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656979200000",
"number": "1497422984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 GRANDVIEW PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782095417",
"telephone_number": "210-413-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE STE 533",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125607",
"telephone_number": "210-465-5545",
"fax_number": "210-742-9605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR CARLOS CARDENAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-24",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-260-7102"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DR C VIP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DR C VIP",
"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 Jul 5, 2022; 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.