Active NPI
Gerardo Zavala MD PA
- Neurological Surgery Physician
- San Antonio, TX
National Provider Identifier
1669558235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- F3011
- Legal business name
- GERARDO ZAVALA MD PA
- Practice address
- 4423 NW Loop 410
Ste. 100
San Antonio, TX 78229 - Phone
- (210) 541-9898
- Fax
- (210) 541-0580
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Diana Garza
- Title
- Office Manager
- Phone
- (210) 541-9898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | F3011 | TX | Primary |
Addresses
Primary practice location
4423 NW Loop 410
Ste. 100
San Antonio, TX 78229
Mailing address
4423 NW Loop 410
Ste 100
San Antonio, TX 78229
Phone (210) 541-9898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034210701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- San Antonio, TX
- NPI 1003916255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342656000000",
"number": "1669558235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4423 NW LOOP 410",
"address_2": "STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-541-9898",
"fax_number": "210-541-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4423 NW LOOP 410",
"address_2": "STE. 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-541-9898",
"fax_number": "210-541-0580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERARDO ZAVALA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2012-07-19",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-541-9898",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "TX",
"license": "F3011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034210701",
"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 Jul 19, 2012; 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.