NPIMap

Organization Active NPI

River City Imaging Associates PA

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1679871081
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
F4060 Issued in TX
Legal business name
RIVER CITY IMAGING ASSOCIATES PA
Practice address
333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone
(210) 704-2371
Fax
(903) 663-9960
NPI assigned
Mar 9, 2011
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVER CITY IMAGING ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Ping-Sun Keven Chen, MDNPI 1992858328
Title
Authorized Official
Phone
(210) 704-2371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Diagnostic Radiology Physician 2085R0202X F4060 TX Primary

Addresses

Primary practice location

333 N Santa Rosa St
San Antonio, TX 78207-3108

Mailing address

PO Box 10270
Longview, TX 75608-0270
Phone (903) 663-4800

Other practice location 1

1750 E Common St Ste 1101
New Braunfels, TX 78130-6869
Phone (830) 302-4355

Other identifiers 1

IdentifierTypeStateIssuer
280346201MedicaidTX

Other names 1

  • River City Imaging Centers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS, CA, IN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20110421000285 TX Part B Supplier - Clinic/Group Practice 0244415081 Receives reassigned benefits from 28 practitioners
Practice locations: San Antonio, TX; New Braunfels, TX
O20180806002157 KS Part B Supplier - Clinic/Group Practice 0244415081 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS
O20240801000618 CA Part B Supplier - Clinic/Group Practice 0244415081 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA; Carmel, CA
O20250814000456 IN Part B Supplier - Clinic/Group Practice 0244415081 Receives reassigned benefits from 1 practitioner
Practice locations: Zionsville, IN

National Provider Directory

National Provider Directory
Part of
River City

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1770 State Highway 46 W
Ste 1107
New Braunfels, TX 78132
Phone (830) 302-4355

600 N Union Ave
Fl 1
New Braunfels, TX 78130
Phone (830) 643-6235

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

403 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (210) 294-8000

700 N Saint Marys St
#140050
San Antonio, TX 78205

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1679871081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10270",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756080270",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-2371",
            "fax_number": "903-663-9960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 E Common St Ste 1101",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781306869",
            "country_code": "US",
            "telephone_number": "830-302-4355",
            "fax_number": "830-312-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER CITY IMAGING ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER CITY IMAGING ASSOCIATES PA",
        "enumeration_date": "2011-03-09",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "PING-SUN",
        "authorized_official_middle_name": "KEVEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "210-704-2371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F4060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280346201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Imaging Centers",
            "code": "5",
            "type": "Other 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 Dec 15, 2023; 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.

Verify at the official NPI Registry.