NPIMap

Organization Active NPI

Santa Rosa Family Health Center

Doing business as Santa Rosa Family Practice Residency Program

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1679572804
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANTA ROSA FAMILY HEALTH CENTER
Doing business as
Santa Rosa Family Practice Residency Program
Practice address
11130 Christus HLS
3Rd Floor
San Antonio, TX 78251-3585
Phone
(210) 703-9001
Fax
(210) 703-9155
NPI assigned
Jul 19, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Christine D Criscuolohiggins, MDNPI 1881695864
Title
Program Director
Phone
(210) 703-9045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TX Primary

Addresses

Primary practice location

11130 Christus HLS
3Rd Floor
San Antonio, TX 78251-3585

Mailing address

11130 Christus HLS
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251-3585
Phone (210) 703-9001

Other identifiers 3

IdentifierTypeStateIssuer
0803595-02OtherTXCIDC GROUP NUMBER
0803595-03OtherTXEPSDT FACILITY NUMBER
0803595-01MedicaidTX

Other names 1

  • Santa Rosa Family Practice Residency Program Doing business as

National Provider Directory

National Provider Directory

Locations

11130 Christus Hls
Ste 201
San Antonio, TX 78251
Phone (210) 703-9029

315 N San Saba
Fl 2
San Antonio, TX 78207
Phone (210) 704-4140

333 N Santa Rosa
Fl 4
San Antonio, TX 78207
Phone (210) 704-4140

333 N Santa Rosa
Lowr
San Antonio, TX 78207
Phone (210) 704-2335

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679572804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 CHRISTUS HLS",
            "address_2": "MEDICAL PLAZA 3, 3RD FL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513585",
            "telephone_number": "210-703-9001",
            "fax_number": "210-703-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 CHRISTUS HLS",
            "address_2": "3RD FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513585",
            "telephone_number": "210-703-9001",
            "fax_number": "210-703-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "CRISCUOLOHIGGINS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "210-703-9045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC GROUP NUMBER",
            "identifier": "0803595-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT FACILITY NUMBER",
            "identifier": "0803595-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803595-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Family Practice Residency Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Rosa Family Practice Residency Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2022; 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.