Organization Active NPI

Family Medical Home, PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1841557642
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8960 Issued in TX
Legal business name
FAMILY MEDICAL HOME, PLLC
Practice address
9179 Grissom Rd Ste 101
San Antonio, TX 78251-2810
Phone
(210) 680-8081
Fax
(210) 680-3133
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Jesus Alejandro Rodriguez, MDNPI 1447383187
Title
Manager
Phone
(210) 680-8081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8960 TX Primary

Addresses

Primary practice location

9179 Grissom Rd Ste 101
San Antonio, TX 78251-2810

Mailing address

9179 Grissom Rd Ste 101
San Antonio, TX 78251-2810
Phone (210) 680-8081

National Provider Directory

National Provider Directory

Locations

9179 Grissom Rd
Ste 101
San Antonio, TX 78251
Phone (210) 680-8081

9410 Dugas Dr
Ste 104
San Antonio, TX 78245
Phone (210) 680-8081

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4296/brand/2/csg/22/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1841557642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 GRISSOM RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512810",
            "telephone_number": "210-680-8081",
            "fax_number": "210-680-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 GRISSOM RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512810",
            "telephone_number": "210-680-8081",
            "fax_number": "210-680-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL HOME, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-680-8081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8960",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 18, 2012; 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.