Active NPI
Leah Rose Garguena-Bacuta, M.D.
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1679575708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K8163
- Practice address
- 7430 Barlite Blvd
Ste 104
San Antonio, TX 78224-1365 - Phone
- (210) 298-2529
- Fax
- (210) 977-8480
- NPI assigned
- Jun 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K8163 | TX | Primary |
Addresses
Primary practice location
7430 Barlite Blvd
Ste 104
San Antonio, TX 78224-1365
Mailing address
8702 Monument Oak
Boerne, TX 78015-6509
Phone (210) 698-2436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155488301 | Medicaid | TX |
Other names 1
- Leah Rose Garguena
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8163 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Villareal MD PA | Pediatrics | Past | Accepting new patients |
| Viva Pediatrics PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1790833291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1679575708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8702 MONUMENT OAK",
"city": "BOERNE",
"state": "TX",
"postal_code": "780156509",
"telephone_number": "210-698-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 BARLITE BLVD",
"address_2": "STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241365",
"telephone_number": "210-298-2529",
"fax_number": "210-977-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARGUENA-BACUTA",
"first_name": "LEAH",
"middle_name": "ROSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K8163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155488301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "GARGUENA",
"middle_name": "ROSE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.