San Antonio Extended Medical Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAN ANTONIO EXTENDED MEDICAL CARE, INC.

Doing business as

Med Mart Pleasanton

Practice address

918 E Highway 97
Pleasanton, TX 78064-2730

Phone

(830) 281-5360

Fax

(830) 281-5354

NPI assigned

May 24, 2006

Last updated

May 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Barrera

Title

Vice-President

Phone

(210) 697-9933

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Med Mart Pleasanton Doing business as

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1568417855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21195 IH 10 W",
            "address_2": "SUITE # 1101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571674",
            "telephone_number": "830-281-5360",
            "fax_number": "830-281-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 E HIGHWAY 97",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780642730",
            "telephone_number": "830-281-5360",
            "fax_number": "830-281-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO EXTENDED MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "210-697-9933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175612402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM",
            "identifier": "1025667",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175612401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "532348",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Mart Pleasanton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dustin Wayne Rutkowski, MA CCC-SLP
• Norma Jean Salinas, LPC
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
• Brandy Ree Schjang, APRN, FNP-C
• Emily Kate Schorr, APRN, FNP-C
• Stephanie Dyan Seewald, CPNP
• Daniel M Sheffield, PHARM D

• Durable Medical Equipment & Medical Supplies in Pleasanton, TX
• Providers in Pleasanton, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.