Organization Active NPI

Kalaga PA

  • Pediatric Radiology Physician
  • San Antonio, TX
National Provider Identifier
1982994075
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
K1917 Issued in TX
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

Updated by the provider on May 6, 2015

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)CodeLicenseStatePrimary
Pediatric Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.