Organization Active NPI

Quantum Pain and Orthopedic, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
National Provider Identifier
1548757545
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
R4868 Issued in TX
Legal business name
QUANTUM PAIN AND ORTHOPEDIC, PLLC
Practice address
8626 Tesoro Dr Ste 112
San Antonio, TX 78217-6217
Phone
(210) 817-6010
Fax
(210) 817-6011
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Sam K Li, MD
Title
Owner
Phone
(210) 817-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X R4868 TX Primary

Addresses

Primary practice location

8626 Tesoro Dr Ste 112
San Antonio, TX 78217-6217

Mailing address

8626 Tesoro Dr Ste 112
San Antonio, TX 78217-6217
Phone (210) 817-6010

Other practice location 1

137 SW Military Dr
San Antonio, TX 78221-1650
Phone (210) 817-6010

Other identifiers 1

IdentifierTypeStateIssuer
1336403864OtherTXALL OTHER INSURANCE

National Provider Directory

National Provider Directory

Locations

137 SW Military Dr
San Antonio, TX 78221
Phone (210) 817-6010

8626 Tesoro Dr
Ste 112
San Antonio, TX 78217
Phone (210) 817-6010

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1548757545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217",
            "telephone_number": "210-817-6010",
            "fax_number": "210-817-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217",
            "telephone_number": "210-817-6010",
            "fax_number": "210-817-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 SW Military Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782211650",
            "country_code": "US",
            "telephone_number": "210-817-6010",
            "fax_number": "210-817-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUANTUM PAIN AND ORTHOPEDIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-817-6010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R4868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCE",
            "identifier": "1336403864",
            "state": "TX"
        }
    ],
    "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 16, 2018; 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.