Organization Active NPI

Valley Clinic Inc

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1821286600
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VALLEY CLINIC INC
Practice address
9102 Floyd Curl Dr
San Antonio, TX 78240-1553
Phone
(210) 308-5933
Fax
(210) 809-6267
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Gerardo Vazquez, MDNPI 1740274497
Title
Doctor
Phone
(210) 308-5933

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TX Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

9102 Floyd Curl Dr
San Antonio, TX 78240-1553

Mailing address

9102 Floyd Curl Dr
San Antonio, TX 78240-1553
Phone (210) 308-5933

Other identifiers 1

IdentifierTypeStateIssuer
133839406MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gerardovazquez@direct.practicefusion.com Direct valley clinic

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120119000180 TX Part B Supplier - Clinic/Group Practice 6002083896 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX; Hondo, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: gerardovazquez@direct.practicefusion.com

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": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1821286600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-308-5933",
            "fax_number": "210-809-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-308-5933",
            "fax_number": "210-809-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-308-5933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133839406",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerardovazquez@direct.practicefusion.com",
            "affiliation": "Y",
            "affiliationName": "valley clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "san antonio",
            "address_1": "9102 Floyd Curl Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782401553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 28, 2021; 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.