Active NPI
Anna Pantusa Gonzaba, M.D.
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
National Provider Identifier
1851314546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- H4598
- Practice address
- 730 Pleasanton Rd
San Antonio, TX 78214-1306 - Phone
- (210) 921-3800
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | H4598 | TX | Primary |
Addresses
Primary practice location
730 Pleasanton Rd
San Antonio, TX 78214-1306
Mailing address
720 Pleasanton Rd
San Antonio, TX 78214-1306
Phone (210) 921-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059JG | Other | TX | BLUE CROSS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4598 | TX | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1851314546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 PLEASANTON RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782141306",
"telephone_number": "210-921-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 PLEASANTON RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782141306",
"telephone_number": "210-921-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZABA",
"first_name": "ANNA",
"middle_name": "PANTUSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "H4598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER",
"identifier": "0059JG",
"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 Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.