NPIMap

Organization Active NPI

Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC

Doing business as Advanced Clinician

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679908602
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
697419 Issued in TX
Legal business name
ADVANCED CLINICIAN, MULTISPECIALTY CLINICAL CONSULTANT SERVICES, PLLC
Doing business as
Advanced Clinician
Practice address
5101 Medical Dr
San Antonio, TX 78229-4801
Phone
(210) 802-1661
NPI assigned
Sep 10, 2013
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Mr. Jose A. Ramos, APRN, ACNPNPI 1114233152
Title
Ceo
Phone
(832) 264-0756

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 697419 TX Primary

Addresses

Primary practice location

5101 Medical Dr
San Antonio, TX 78229-4801

Mailing address

17503 La Cantera Pkwy # 104-404
San Antonio, TX 78257-8207
Phone (210) 802-1661

Other names 1

  • Advanced Clinician Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150720002173 TX Part B Supplier - Clinic/Group Practice 5597078550 Receives reassigned benefits from 30 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

17503 La Cantera Pkwy
#104404
San Antonio, TX 78257
Phone (210) 802-1661

17503 La Cantera Pkwy
Ste 104404
San Antonio, TX 78257

4499 Medical Dr
San Antonio, TX 78229
Phone (210) 575-4325

5101 Medical Dr
Fl 3
San Antonio, TX 78229
Phone (210) 592-5349

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1679908602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY # 104-404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-802-1661",
            "fax_number": "210-579-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294801",
            "telephone_number": "210-802-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICIAN, MULTISPECIALTY CLINICAL CONSULTANT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-264-0756",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, ACNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "697419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Clinician",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Clinician",
            "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 Mar 22, 2022; 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.