Organization Active NPI

Family Health of South Texas, PA

Doing business as Mission Trails Family Health

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1861730939
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY HEALTH OF SOUTH TEXAS, PA
Doing business as
Mission Trails Family Health
Practice address
4522 Fredericksburg Rd Ste A5
San Antonio, TX 78201-6517
Phone
(210) 692-7171
Fax
(210) 277-7460
NPI assigned
Jan 24, 2013
Last updated
Mar 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Linda I Esquivel, MDNPI 1043342181
Title
President
Phone
(210) 682-9434

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 NU Primary

Addresses

Primary practice location

4522 Fredericksburg Rd Ste A5
San Antonio, TX 78201-6517

Mailing address

4522 Fredericksburg Rd Ste A5
San Antonio, TX 78201-6517
Phone (210) 692-7171

Other identifiers 2

IdentifierTypeStateIssuer
337495101MedicaidTX
337495103MedicaidTX

Other names 1

  • Mission Trails Family Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327001713 TX Part B Supplier - Clinic/Group Practice 1759512114 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

10010 Westover Hills Blvd
Ste 125
San Antonio, TX 78251
Phone (210) 682-9434

4522 Fredericksburg Rd
Ste A5
San Antonio, TX 78201
Phone (210) 570-8500

8038 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 570-8500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHEAD

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": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1861730939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD STE A5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016517",
            "telephone_number": "210-692-7171",
            "fax_number": "210-277-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD STE A5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016517",
            "telephone_number": "210-692-7171",
            "fax_number": "210-277-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH OF SOUTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "ESQUIVEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-682-9434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337495101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337495103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Trails Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 30, 2016; 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.