Active NPI
Kalaga PA
- Pediatric Radiology Physician
- San Antonio, TX
National Provider Identifier
1982994075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- K1917
- Legal business name
- KALAGA PA
- Practice address
- 18126 Prestonshire
San Antonio, TX 78258-4473 - Phone
- (210) 844-7575
- Fax
- (210) 493-8297
- NPI assigned
- Apr 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mario E. Ruiz, MD
- Title
- Owner
- Phone
- (210) 844-7575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | K1917 | TX | Primary |
Addresses
Primary practice location
18126 Prestonshire
San Antonio, TX 78258-4473
Mailing address
18126 Prestonshire
San Antonio, TX 78258-4473
Phone (210) 844-7575
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430870400000",
"number": "1982994075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18126 PRESTONSHIRE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584473",
"telephone_number": "210-844-7575",
"fax_number": "210-493-8297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18126 PRESTONSHIRE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584473",
"telephone_number": "210-844-7575",
"fax_number": "210-493-8297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALAGA PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-11",
"last_updated": "2015-05-06",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "MARIO",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-844-7575",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": "TX",
"license": "K1917",
"primary": true
}
],
"identifiers": [],
"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 May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.