NPIMap

Organization Active NPI

City of San Antonio Texas

  • Public Health or Welfare Agency
  • San Antonio, TX
National Provider Identifier
1639808363
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CITY OF SAN ANTONIO TEXAS
Practice address
515 Castroville Rd Ste 101
San Antonio, TX 78237-3131
Phone
(210) 207-8802
NPI assigned
Jun 8, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Tiffany Haynes
Title
Billing and Coding Specialist
Phone
(210) 207-8689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

515 Castroville Rd Ste 101
San Antonio, TX 78237-3131

Mailing address

PO Box 839966
San Antonio, TX 78283-3966

Other names 2

  • Diabetes Prevention & Control Other name
  • District Diabetes Prevention & Control Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221122000110 TX MDPP Supplier - in-Person MDPP Supplier 2062461528 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Metropolitan Health District44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations (25 of 41)

1011 Mason St
San Antonio, TX 78208

1038 New Laredo Hwy
San Antonio, TX 78211

10400 Horn Blvd
San Antonio, TX 78240

10750 Nacogdoches Rd
San Antonio, TX 78217

1100 March Rd
San Antonio, TX 78214

11011 Vance Jackson Rd
San Antonio, TX 78230

1107 Culebra Rd
San Antonio, TX 78201

115 Auditorium Cir
San Antonio, TX 78205

1165 Evans Rd
San Antonio, TX 78258

11802 West Ave
San Antonio, TX 78216

1310 Vance Jackson Rd
San Antonio, TX 78201

1351 Horal Dr
San Antonio, TX 78245

15 Burwood Ln
San Antonio, TX 78216

1518 Hillcrest Dr
San Antonio, TX 78228

15300 Babcock Rd
San Antonio, TX 78249

1940 Austin Hwy
San Antonio, TX 78218

1956 Austin Hwy
San Antonio, TX 78218

2002 SW 36th St
San Antonio, TX 78237

2110 Nogalitos
San Antonio, TX 78225

2235 Babcock Rd
San Antonio, TX 78229

2307 Vance Jackson Rd
San Antonio, TX 78213

2515 Thousand Oaks Dr
San Antonio, TX 78232

315 S Santa Rosa
#2000
San Antonio, TX 78207

3150 Ruiz St
San Antonio, TX 78228

3203 S Presa St
San Antonio, TX 78210

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1639808363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839966",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782833966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CASTROVILLE RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373131",
            "telephone_number": "210-207-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAN ANTONIO TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BILLING AND CODING SPECIALIST",
        "authorized_official_telephone_number": "210-207-8689"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Prevention & Control",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "District Diabetes Prevention & Control",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.