Active NPI
Marc Victor Oceguera, DPT
- Military Health Care Provider
- San Antonio, TX
National Provider Identifier
1669741658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 22709
- Practice address
- 6655 First Park Ten Blvd
San Antonio, TX 78213-4308 - Phone
- (210) 496-2323
- NPI assigned
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 22709 | FL | Primary |
Addresses
Primary practice location
6655 First Park Ten Blvd
San Antonio, TX 78213-4308
Mailing address
2442 W Nancy Ave
Porterville, CA 93257-7520
Phone (559) 782-9306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22709 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1669741658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2442 W NANCY AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932577520",
"telephone_number": "559-782-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 FIRST PARK TEN BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134308",
"telephone_number": "210-496-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCEGUERA",
"first_name": "MARC",
"middle_name": "VICTOR",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "FL",
"license": "22709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Occupational Health Centers of the Southwest, P.a.
- Occupational Health Centers of the Southwest, P.a.
- Occupational Therapy Rehabilitation LLC
- Occupational Therapy Services, Inc.
- Ocean Dental of Texas, P.C.
- Julia Ocejo, RBT
- Esther Nyatichi Ochenge
- Kyrie Ochiagha, REGISTERED NURSE
- Amalia Margarita Ochoa, DO
- Andrea Ochoa, P.T., DPT, FAAOMPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.