Organization Active NPI

Pediatric Associates of Converse, PA

  • Pediatric Adolescent Medicine Physician
  • Converse, TX
National Provider Identifier
1942547609
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
N7595 Issued in TX
Legal business name
PEDIATRIC ASSOCIATES OF CONVERSE, PA
Practice address
9135 Schaefer Rd
Ste 4
Converse, TX 78109-1979
Phone
(210) 281-5507
Fax
(210) 290-9791
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Subhashini S Valavalkar, M.D.
Title
Doctor
Phone
(210) 281-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X N7595 TX Primary

Addresses

Primary practice location

9135 Schaefer Rd
Ste 4
Converse, TX 78109-1979

Mailing address

9135 Schaefer Rd
Ste 4
Converse, TX 78109-1979
Phone (210) 281-5507

Other identifiers 1

IdentifierTypeStateIssuer
1235101106MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1942547609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 SCHAEFER RD",
            "address_2": "STE 4",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091979",
            "telephone_number": "210-281-5507",
            "fax_number": "210-290-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SCHAEFER RD",
            "address_2": "STE 4",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091979",
            "telephone_number": "210-281-5507",
            "fax_number": "210-290-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF CONVERSE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "VALAVALKAR",
        "authorized_official_first_name": "SUBHASHINI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-281-5507",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "N7595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235101106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.