Individual provider Active NPI

Marcela Lucia Castano de Zamacona, M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1699094029
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P1170 Issued in TX
Practice address
27127 I 10 West
Suite 205
San Antonio, TX 78257
Phone
(210) 698-7663
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01068027A IN
Pediatrics Physician 208000000X P1170 TX Primary

Addresses

Primary practice location

27127 I 10 West
Suite 205
San Antonio, TX 78257

Mailing address

PO Box 87
San Antonio, TX 78291-0087
Phone (210) 358-9174

Other practice location 1

1055 Ada St
San Antonio, TX 78223-1703
Phone (210) 358-5515

Other practice location 2

11345 Alamo Ranch Pkwy Ste 203
San Antonio, TX 78253-6442
Phone (210) 767-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000066 TX Practitioner - Pediatric Medicine 5991963621 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01068027AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Pediatrics CurrentSince Jan 1, 2022 Accepting new patients
Community Medicine Associates Pediatrics CurrentSince Dec 11, 2011 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2022 Accepting new patients

Locations

1055 Ada St
San Antonio, TX 78223
Phone (210) 358-5515

11345 Alamo Ranch Pkwy
Ste 203
San Antonio, TX 78253
Phone (210) 705-5151

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: mcastano282942@christushealth.direct-ci.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1699094029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782910087",
            "telephone_number": "210-358-9174",
            "fax_number": "210-358-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27127 I 10 WEST",
            "address_2": "SUITE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-698-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Ada St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782231703",
            "country_code": "US",
            "telephone_number": "210-358-5515",
            "fax_number": "210-358-5530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11345 Alamo Ranch Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782536442",
            "country_code": "US",
            "telephone_number": "210-767-4000",
            "fax_number": "210-688-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTANO DE ZAMACONA",
        "first_name": "MARCELA",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01068027A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.