NPIMap

Organization Active NPI

La Cantera Pediatrics, P.a.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1760504906
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M1106 Issued in TX
Legal business name
LA CANTERA PEDIATRICS, P.A.
Practice address
21195 Ih 10 W
Suite 2101
San Antonio, TX 78257-1674
Phone
(210) 687-1144
Fax
(210) 687-1146
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Armando David Garza, M.D.NPI 1679573836
Title
Owner
Phone
(210) 632-4992

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X M1106 TX Primary

Addresses

Primary practice location

21195 Ih 10 W
Suite 2101
San Antonio, TX 78257-1674

Mailing address

21195 Ih 10 W
Suite 2101
San Antonio, TX 78257-1674
Phone (210) 687-1144

Other identifiers 3

IdentifierTypeStateIssuer
180342104MedicaidTX
185740103MedicaidTX
185740102MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
La Cantera Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

21195 W Interstate 10
Ste 2101
San Antonio, TX 78257
Phone (210) 687-1144

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1760504906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21195 IH 10 W",
            "address_2": "SUITE 2101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571674",
            "telephone_number": "210-687-1144",
            "fax_number": "210-687-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21195 IH 10 W",
            "address_2": "SUITE 2101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571674",
            "telephone_number": "210-687-1144",
            "fax_number": "210-687-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CANTERA PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-632-4992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180342104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185740103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185740102",
            "state": "TX"
        }
    ],
    "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 14, 2008; 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.