La Paz Community Healthcare Center, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LA PAZ COMMUNITY HEALTHCARE CENTER, INC

Practice address

530 San Pedro Ave
San Antonio, TX 78212-5007

Phone

(210) 558-8744

Fax

(210) 558-4276

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Adediran Adedeji

Title

Ceo

Phone

(210) 697-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• La Paz Community Health Center Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teodorico H. Jaceldo, M.D.

  • General Practice Physician
  • San Antonio, TX
  • NPI 1821271537
  NPD (past)
• Donna Michelle Loukas, LPC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1659644128
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1871776567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125007",
            "telephone_number": "210-558-8744",
            "fax_number": "210-558-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125007",
            "telephone_number": "210-558-8744",
            "fax_number": "210-558-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAZ COMMUNITY HEALTHCARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "ADEDEJI",
        "authorized_official_first_name": "ADEDIRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-697-5700"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1965873-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Paz Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• La Gloria Health Services, Inc.
• La Gloria Health Services, Inc.
• Damian L La Kemper, DDS
• La Luz Counseling, LLC
• La Paz Community Health Center
• Amy R La Rue, PT
• La Tooth Doc
• Cynthia Laabs-Ortegon, LPC
• Lab-a-Finity LLC
• Labadvantage San Antonio LTD

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.