Organization Active NPI

Family Care & Minor Emergency Center, P.a.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1861601858
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H7924 Issued in TX
Legal business name
FAMILY CARE & MINOR EMERGENCY CENTER, P.A.
Practice address
1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258-4842
Phone
(210) 654-4066
Fax
(210) 654-9134
NPI assigned
May 22, 2007
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Magdalena C Traudt, MDNPI 1851304398
Title
President
Phone
(210) 654-4066

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H7924 TX Primary

Addresses

Primary practice location

1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258-4842

Mailing address

1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258-4842
Phone (210) 654-4066

Other identifiers 2

IdentifierTypeStateIssuer
00336TOtherTXMEDICARE GROUP
150708901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000406 TX Part B Supplier - Clinic/Group Practice 9133192073 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0952385Family Care and Minor Emergency Center PA1202 E Sonterra Blvd BLDG 2 Suite 201, San Antonio, TX 78258Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

1202 E Sonterra Blvd
Ste 201
San Antonio, TX 78258
Phone (210) 654-4066

1202 E Sonterra Blvd
Ste 614
San Antonio, TX 78258
Phone (210) 654-4066

5710 Walzem Rd
Windcrest, TX 78218
Phone (210) 654-4066

Practitioners & affiliated clinicians

Practitioners 5

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1861601858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584842",
            "telephone_number": "210-654-4066",
            "fax_number": "210-654-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584842",
            "telephone_number": "210-654-4066",
            "fax_number": "210-654-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE & MINOR EMERGENCY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-06-08",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "TRAUDT",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-654-4066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00336T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150708901",
            "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 Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.