Organization Active NPI

Nasser Nakissa

  • Land Ambulance
  • San Antonio, TX
National Provider Identifier
1659427151
Registry record updated Jun 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101130 Issued in TX
Legal business name
NASSER NAKISSA
Practice address
700 S Zarzamora St
Suite 208
San Antonio, TX 78207-5255
Phone
(210) 434-2488
Fax
(210) 434-3113
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2008

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

Authorized official

Name
Dr. Nassar Nakissa, M.D.
Title
Owner
Phone
(210) 434-2488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101130 TX Primary

Addresses

Primary practice location

700 S Zarzamora St
Suite 208
San Antonio, TX 78207-5255

Mailing address

PO Box 28554
San Antonio, TX 78228-0554
Phone (210) 434-2488

Other identifiers 1

IdentifierTypeStateIssuer
152910901MedicaidTX

National Provider Directory

National Provider Directory

Locations

1951 NW Loop 410
San Antonio, TX 78213
Phone (210) 344-1636

700 S Zarzamora St
Ste 208
San Antonio, TX 78207
Phone (210) 434-2488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214092800000",
    "number": "1659427151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28554",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782280554",
            "telephone_number": "210-434-2488",
            "fax_number": "210-434-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ZARZAMORA ST",
            "address_2": "SUITE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075255",
            "telephone_number": "210-434-2488",
            "fax_number": "210-434-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSER NAKISSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-06-22",
        "status": "A",
        "authorized_official_last_name": "NAKISSA",
        "authorized_official_first_name": "NASSAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-434-2488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152910901",
            "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 22, 2008; 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.