Active NPI
Patricia Ortiz Guerrero, M.D
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1679501787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K4012
- Practice address
- 14811 San Pedro Ave
San Antonio, TX 78232-3708 - Phone
- (210) 233-7000
- Fax
- (210) 494-2353
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | K4012 | TX | |
| Pediatrics Physician | 208000000X | K4012 | TX | Primary |
Addresses
Primary practice location
14811 San Pedro Ave
San Antonio, TX 78232-3708
Mailing address
3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050803000987 | TX | Practitioner - Pediatric Medicine | 6800824459 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4012 | TX | MD | Pediatric Hospice and Palliative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center,Inc. | Current | Accepting new patients | |
| Jorge E. Dominguez MD PA | Pediatrics | Past | Accepting new patients |
Locations
14811 San Pedro Ave
San Antonio, TX 78232
Phone (210) 494-7758
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
8210 Callaghan Rd
San Antonio, TX 78230
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
Interoperability endpoints
- patricia.guerrero.p1@direct.aguirrepediatrics.nextgenshare.com
- patricia.guerrero.1@32118.direct.athenahealth.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72228
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
TX
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1851843619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1679501787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3066 E COMMERCE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782201013",
"telephone_number": "210-233-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14811 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323708",
"telephone_number": "210-233-7000",
"fax_number": "210-494-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "PATRICIA",
"middle_name": "ORTIZ",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "TX",
"license": "K4012",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K4012",
"primary": true
}
],
"identifiers": [],
"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 Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.