Active NPI
Estefania Marie Bazan, MD
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1689323016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V8583
- Practice address
- 315 N San Saba Ste 1135
San Antonio, TX 78207-3255 - Phone
- (210) 704-2011
- NPI assigned
- Mar 22, 2022
- 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 | V8583 | TX | Primary |
Addresses
Primary practice location
315 N San Saba Ste 1135
San Antonio, TX 78207-3255
Mailing address
315 N San Saba Ste 1135
San Antonio, TX 78207-3255
Phone (210) 704-2011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20220628000724 | MO | Order and Referring Only - Pediatric Medicine | 5496134017 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V8583 | TX | MD | Pediatrics Physician |
Interoperability endpoints
- ebazan588147@christushealth.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1689323016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N SAN SABA STE 1135",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073255",
"telephone_number": "210-704-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N SAN SABA STE 1135",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073255",
"telephone_number": "210-704-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZAN",
"first_name": "ESTEFANIA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V8583",
"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 Jul 2, 2025; 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.