Organization Active NPI

Carlos a Lozano MD PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1790967362
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E8679 Issued in TX
Legal business name
CARLOS A LOZANO MD PA
Practice address
525 Richmond
San Antonio, TX 78215-2008
Phone
(210) 227-7119
Fax
(210) 228-0264
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Carlos A Lozano, MD PANPI 1699865238
Title
President
Phone
(210) 227-7119

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E8679 TX Primary

Addresses

Primary practice location

525 Richmond
San Antonio, TX 78215-2008

Mailing address

525 Richmond
San Antonio, TX 78215-2008
Phone (210) 227-7119

Other identifiers 1

IdentifierTypeStateIssuer
034913601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111220000137 TX Part B Supplier - Clinic/Group Practice 6103091293 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

525 Richmond Ave
San Antonio, TX 78215
Phone (210) 225-8904

Practitioners & affiliated clinicians

Practitioners 4

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1790967362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 RICHMOND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152008",
            "telephone_number": "210-227-7119",
            "fax_number": "210-228-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 RICHMOND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152008",
            "telephone_number": "210-227-7119",
            "fax_number": "210-228-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A LOZANO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-227-7119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E8679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034913601",
            "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 Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.