REGENERATIVE CLINICS OF SAN ANTONIO (NPI# 1548728645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548728645 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE CLINICS OF SAN ANTONIO |
| Practice Address |
2115 Pleasanton Rd Ste 203 San Antonio TX 78221-1300 |
| Practice Telephone | 2108375159 |
| Practice Fax Number | 2105796647 |
| Mailing Telephone | 2108375159 |
| Mailing Fax Number | 2105796647 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | JESSE SAUCEDO (OWNER) |
| Authorized Official Telephone | 2108375159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2115 PLEASANTON RD STE 203 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78221-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891910139 | Dana Trevino | Occupational Therapist | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2007-04-13 |
| 1891250742 | Jesse Saucedo | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-02-05 |
| 1568718864 | Dara Lynn Deroche | Speech-Language Pathologist | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025613 | Alessi Royalando Jenkins | Registered Nurse | 11418 Hogan Cv, San Antonio, TX 78221 | 2018-03-01 |
| 1104299528 | Melissa Campos | Licensed Practical Nurse | Wellmed At Sw Military, 517 Sw Military Dr Ste A, San Antonio, TX 78221 | 2015-11-06 |
| 1083055834 | Southside Spinal Care Clinic LLC. | Chiropractor | 1730 Sw Military Dr., Suite 104c, San Antonio, TX 78221 | 2013-07-09 |
| 1164862934 | Robert A Castro | Dentist | 1926 Pleasanton Dr, San Antonio, TX 78221 | 2013-06-26 |
| 1215253851 | Maricella Araiza Falcon-marchiori | Occupational Therapy Assistant | 331 W Gerald, San Antonio, TX 78221 | 2010-04-07 |
| 1992029342 | Access Dental of Pleasanton, P.a. | Dentist | 803 Sw Military Drive, Suite #130, San Antonio, TX 78221 | 2010-03-15 |
| 1598804148 | San Juan Primary Home Care Agency | Home Health | 201 Rayburn Drive, San Antonio, TX 78221 | 2007-02-06 |
| 1669570412 | Cvs Pharmacy Inc | Pharmacy | 103 S W Military Drive, San Antonio, TX 78221 | 2006-09-20 |
| 1649389073 | H-e-b, Lp | Clinical Medical Laboratory | 735 Sw Military Dr, San Antonio, TX 78221 | 2006-08-30 |
| 1790799245 | Mayfield Care Center | Nursing Facility/Intermediate Care Facility | 328 W.mayfield, San Antonio, TX 78221 | 2006-07-28 |
| Find all providers in zip 78221 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| 1982129706 | Goldenbear Rc Services LLC | Clinic/Center | 18756 Stone Oak Parkway, 248, San Antonio, TX 78295-7825 | 2017-08-14 |
| 1669858353 | Peachwood Wellness Pllc | Clinic/Center | 8301 Broadway, Suite 422, San Antonio, TX 78209 | 2015-08-04 |
| 1043876568 | Dynamic Dermatology, Pllc | Clinic/Center | 13535 Hausman Pass Ste 104, San Antonio, TX 78249-3581 | 2019-05-10 |
| 1336607977 | Tina Batten | Clinic/Center | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-03-02 |
| 1891250742 | Jesse Saucedo | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-02-05 |
| 1679062251 | F Silva Md Pllc | Clinic/Center | 14615 San Pedro Ave Ste 105, San Antonio, TX 78232-4364 | 2018-05-09 |
| 1710408265 | Synaptoveda Pa | Clinic/Center | 4402 Vance Jackson Rd Ste 214, San Antonio, TX 78230-5334 | 2017-07-05 |
| 1326580408 | Texas Derm Institute, Pa | Clinic/Center | 24165 W Ih 10, Suite 102, San Antonio, TX 78257-1114 | 2016-11-07 |
| 1821459827 | Geriatric and Palliative Medical Care of Texas LLC | Clinic/Center | 4879 Corian Springs Dr, San Antonio, TX 78247-5599 | 2016-03-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78221 |
Please comment or provide details below to improve the information on REGENERATIVE CLINICS OF SAN ANTONIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.