NPIMap

Organization Active NPI

San Antonio a Thru Z Pediatrics PA

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1609931088
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SAN ANTONIO A THRU Z PEDIATRICS PA
Practice address
2415 E Evans Rd Ste 108
San Antonio, TX 78259-2806
Phone
(210) 490-8888
Fax
(210) 496-6865
NPI assigned
Dec 26, 2006
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Ms. Manjeera R
Title
Coo
Phone
(210) 490-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2415 E Evans Rd Ste 108
San Antonio, TX 78259-2806

Mailing address

2415 E Evans Rd Ste 108
San Antonio, TX 78259-2806
Phone (210) 490-8888

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1009458San Antonio a Thru Z Pediatrics, PA2415 E Evans Rd, Suite 109,, San Antonio, TX 78259Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

11212 State Highway 151
Ste 215
San Antonio, TX 78251
Phone (210) 375-5000

1314 E Sonterra Blvd
Ste 5102
San Antonio, TX 78258
Phone (210) 490-8888

19016 Stone Oak Pkwy
Ste 100
San Antonio, TX 78258
Phone (210) 403-3490

2415 E Evans Rd
Ste 108
San Antonio, TX 78259
Phone (210) 490-8888

2415 E Evans Rd
Ste 109
San Antonio, TX 78259

2902 Goliad Rd
Ste 103
San Antonio, TX 78223
Phone (210) 337-4911

7922 Ewing Halsell Dr
Ste 380
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1609931088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 E EVANS RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592806",
            "telephone_number": "210-490-8888",
            "fax_number": "210-496-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E EVANS RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592806",
            "telephone_number": "210-490-8888",
            "fax_number": "210-496-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO A THRU Z PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "R",
        "authorized_official_first_name": "MANJEERA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "210-490-8888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "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 Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.