Individual provider Active NPI

Sarah Elizabeth Ponce, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1881828101
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06147 Issued in TX
Practice address
8401 Datapoint Dr
Ste 865
San Antonio, TX 78229-5900
Phone
(210) 293-6006
Fax
(210) 293-6006
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06147 TX Primary

Addresses

Primary practice location

8401 Datapoint Dr
Ste 865
San Antonio, TX 78229-5900

Mailing address

34910 Interstate 10 W 3
Boerne, TX 78006-9229
Phone (801) 852-9888

Other names 1

  • Miss Sarah Elizabeth Patterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110128000530 TX Practitioner - Physician Assistant 8628257235 Reassigns benefits to 4 organizations
I20210323000738 AZ Practitioner - Physician Assistant 8628257235 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Oct 27, 2024 Accepting new patients
Cec Alamo Heights ER Physicians PLLC Past Accepting new patients

Locations

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1881828101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34910 INTERSTATE 10 W 3",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069229",
            "telephone_number": "801-852-9888",
            "fax_number": "801-934-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "STE 865",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-293-6006",
            "fax_number": "210-293-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PATTERSON",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.