NPIMap

Organization Active NPI

San Antonio Podiatry Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1851021059
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SAN ANTONIO PODIATRY ASSOCIATES PLLC
Practice address
8122 Datapoint Dr Ste 720
San Antonio, TX 78229-3272
Phone
(210) 899-1026
NPI assigned
Jun 13, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Angela Anzaldua
Title
Regional VP
Phone
(210) 899-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

8122 Datapoint Dr Ste 720
San Antonio, TX 78229-3272

Mailing address

12450 Network Blvd Ste 103
San Antonio, TX 78249-3466
Phone (210) 899-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040319000354 TX Part B Supplier - Clinic/Group Practice 6305736547 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX; Kyle, TX; New Braunfels, TX
O20230307003201 TX DME Supplier - Physician - Podiatry 6305736547 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1851021059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 NETWORK BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493466",
            "telephone_number": "210-899-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR STE 720",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293272",
            "telephone_number": "210-899-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PODIATRY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "ANZALDUA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGIONAL VP",
        "authorized_official_telephone_number": "210-899-1026"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "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 Jun 13, 2022; 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.