Provider Type Icon

COMMUNITY FAMILY MEDICINE PA NPI 1295825990


NPI Information

NPI: 1295825990
Provider Name: COMMUNITY FAMILY MEDICINE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0501127

Address:
1616 CALLAGHAN RD
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 435-1218
Get Directions

COMMUNITY FAMILY MEDICINE PA is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMUNITY FAMILY MEDICINE PA NPI is 1295825990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1616 CALLAGHAN RD
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 435-1218
Fax: (210) 435-3162

The provider's authorized official is Javier C Bocanegra .
The authorized official title is Md Lowner and has the following contact phone number (210) 435-1218.

The CLIA number assigned to this NPI record is 45D0501127 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineH2253TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1121539402MEDICAIDTEXAS
200082HMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.