Organization Active NPI

Era Geriatric Psychiatry Services, P.a.

  • Geriatric Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1710992417
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
M0552 Issued in TX
Legal business name
ERA GERIATRIC PSYCHIATRY SERVICES, P.A.
Practice address
202 Verbena HL
San Antonio, TX 78258-2949
Phone
(210) 875-6708
Fax
(210) 481-0989
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ricardo Salazar, M.D.NPI 1013950914
Title
Owner
Phone
(210) 875-6708

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
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X M0552 TX Primary

Addresses

Primary practice location

202 Verbena HL
San Antonio, TX 78258-2949

Mailing address

202 Verbena HL
San Antonio, TX 78258-2949
Phone (210) 875-6708

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710992417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 VERBENA HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582949",
            "telephone_number": "210-875-6708",
            "fax_number": "210-481-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 VERBENA HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582949",
            "telephone_number": "210-875-6708",
            "fax_number": "210-481-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERA GERIATRIC PSYCHIATRY SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-875-6708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "M0552",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.