NPIMap

Organization Active NPI

San Antonio Podiatry Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1497484463
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SAN ANTONIO PODIATRY ASSOCIATES PLLC
Practice address
9502 Huebner Rd Ste 201
San Antonio, TX 78240-1683
Phone
(210) 899-1026
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN ANTONIO PODIATRY ASSOCIATES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Angela Anzaldua
Title
Regional VP
Phone
(210) 899-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

9502 Huebner Rd Ste 201
San Antonio, TX 78240-1683

Mailing address

12450 Network Blvd Ste 103
San Antonio, TX 78249-3466
Phone (210) 899-1026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230223001671 TX DME Supplier - Physician - Podiatry 6305736547 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Westside Foot Clinic5 organizations share this tax ID, including this one
Part of
Westside Foot Clinic

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1497484463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 NETWORK BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493466",
            "telephone_number": "210-899-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 HUEBNER RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401683",
            "telephone_number": "210-899-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PODIATRY ASSOCIATES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN ANTONIO PODIATRY ASSOCIATES PLLC",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "ANZALDUA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGIONAL VP",
        "authorized_official_telephone_number": "210-899-1026"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "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 Jun 6, 2022; 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.