Active NPI
Heriberto Valencia, FIRST SURGICAL ASSIS
- Surgical Assistant
- San Antonio, TX
National Provider Identifier
1508373994
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 17-636
- Practice address
- 215 E Quincy St Ste 610
San Antonio, TX 78215-2031 - Phone
- (210) 226-2001
- NPI assigned
- Jan 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 17-636 | TX | Primary |
Addresses
Primary practice location
215 E Quincy St Ste 610
San Antonio, TX 78215-2031
Mailing address
215 E Quincy St Ste 610
San Antonio, TX 78215-2031
Phone (210) 226-2001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-636 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515283200000",
"number": "1508373994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E QUINCY ST STE 610",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782152031",
"telephone_number": "210-226-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E QUINCY ST STE 610",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782152031",
"telephone_number": "210-226-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "HERIBERTO",
"credential": "FIRST SURGICAL ASSIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-07",
"last_updated": "2018-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "17-636",
"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 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.