Individual provider Active NPI

Fernando Jesus Esparza, PSY D.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1992753701
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30785 Issued in TX
Practice address
16500 San Pedro Ave Ste 215
San Antonio, TX 78232-2253
Phone
(210) 403-2050
Fax
(210) 403-9890
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30785 TX Primary

Addresses

Primary practice location

16500 San Pedro Ave Ste 215
San Antonio, TX 78232-2253

Mailing address

16500 San Pedro Ave Ste 215
San Antonio, TX 78232-2253
Phone (210) 403-2050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000961 TX Practitioner - Clinical Psychologist 4082685573 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16500 San Pedro Ave
Suite 215
San Antonio, TX 78232-2253
Phone (210) 403-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30785TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Forensic Associates of San Antonio, PA Clinical CurrentSince Mar 6, 2001 Accepting new patients
Dr. Claire Jacobs Clinical Past Accepting new patients

Locations

14607 San Pedro Ave
Ste 295
San Antonio, TX 78232
Phone (210) 403-2050

16500 San Pedro Ave
Ste 215
San Antonio, TX 78232
Phone (210) 403-2050

Organizations & group practices 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1992753701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 SAN PEDRO AVE STE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322253",
            "telephone_number": "210-403-2050",
            "fax_number": "210-403-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 SAN PEDRO AVE STE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322253",
            "telephone_number": "210-403-2050",
            "fax_number": "210-403-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "FERNANDO",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "PSY D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.