Organization Active NPI

Regenerative Clinics of San Antonio

  • Medical Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1548728645
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
REGENERATIVE CLINICS OF SAN ANTONIO
Practice address
2115 Pleasanton Rd Ste 203
San Antonio, TX 78221-1300
Phone
(210) 837-5159
Fax
(210) 579-6647
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Jesse Saucedo
Title
Owner
Phone
(210) 837-5159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2115 Pleasanton Rd Ste 203
San Antonio, TX 78221-1300

Mailing address

2115 Pleasanton Rd Ste 203
San Antonio, TX 78221-1300
Phone (210) 837-5159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1548728645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211300",
            "telephone_number": "210-837-5159",
            "fax_number": "210-579-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211300",
            "telephone_number": "210-837-5159",
            "fax_number": "210-579-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE CLINICS OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-837-5159"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "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 Mar 7, 2019; 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.