Active NPI
Valley Clinic Inc
- Clinic/Center
- San Antonio, TX
National Provider Identifier
1821286600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerardo Vazquez, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133839406 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.