Organization Active NPI

Oscar Iznaola M.D,, PA

  • Nephrology Physician
  • Beeville, TX
National Provider Identifier
1649674953
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N2126 Issued in TX
Legal business name
OSCAR IZNAOLA M.D,, PA
Practice address
100 W Huntington St
Beeville, TX 78102-3324
Phone
(361) 239-2851
Fax
(361) 239-2861
NPI assigned
Oct 15, 2014
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Oscar Alberto Iznaolo-Esquivel, M.D.
Title
Owner
Phone
(361) 239-2851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X N2126 TX Primary

Addresses

Primary practice location

100 W Huntington St
Beeville, TX 78102-3324

Mailing address

1141 N Loop 1604 E # 105-434
San Antonio, TX 78232-1339
Phone (361) 239-2851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150716003296 TX Part B Supplier - Clinic/Group Practice 9133432354 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1141 N Loop 1604 E
#105434
San Antonio, TX 78232
Phone (361) 239-2851

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1649674953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N LOOP 1604 E # 105-434",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339",
            "telephone_number": "361-239-2851",
            "fax_number": "361-239-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W HUNTINGTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781023324",
            "telephone_number": "361-239-2851",
            "fax_number": "361-239-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR IZNAOLA M.D,, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "IZNAOLO-ESQUIVEL",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-239-2851",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N2126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.