NPIMap

Organization Active NPI

M. Reza Mizani, M.D., P.a.

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
National Provider Identifier
1740700111
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130337 Issued in TX
Legal business name
M. REZA MIZANI, M.D., P.A.
Practice address
215 N San Saba Ste 201
San Antonio, TX 78207-3120
Phone
(210) 547-3430
Fax
(210) 229-0606
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Dr. Mohammad Reza Mizani, MDNPI 1497757660
Title
President
Phone
(210) 212-8622

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
Ambulatory Surgical Clinic/Center 261QA1903X 130337 TX Primary

Addresses

Primary practice location

215 N San Saba Ste 201
San Antonio, TX 78207-3120

Mailing address

PO Box 650002
Dept 8286
Dallas, TX 75265
Phone (210) 212-8622

Other names 1

  • Total Vascular Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018000115 TX Part B Supplier - Ambulatory Surgical Center 5294709689 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Total Vascular CareCCN 45C0001629
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1102046Total Vascular Care215 N San Saba, Ste 201, San Antonio, TX 78207RegistrationMay 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
M Reza Mizani MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12970 Toepperwein Rd
Ste 102
Live Oak, TX 78233
Phone (210) 664-0717

8115 Datapoint Dr
Ste 200
San Antonio, TX 78229

343 W Houston St
Ste 703
San Antonio, TX 78205

215 N San Saba
Ste 201A
San Antonio, TX 78207
Phone (210) 547-3430

8307 Broadway
San Antonio, TX 78209

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1740700111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650002",
            "address_2": "DEPT 8286",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN SABA STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073120",
            "telephone_number": "210-547-3430",
            "fax_number": "210-229-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. REZA MIZANI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "MIZANI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-212-8622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Vascular Care",
            "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 Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.