SHIVAM MEDICAL GROUP PA (NPI# 1699112052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699112052 |
| Entity Type | Organization |
| Organization Name | SHIVAM MEDICAL GROUP PA |
| Practice Address |
9002 Culebra Rd Suite 104 San Antonio TX 78251-2873 |
| Mailing Address |
Po Box 1190 Helotes TX 78023-1190 |
| Practice Telephone | 2109105550 |
| Practice Fax Number | 2109719077 |
| Mailing Telephone | 2109105550 |
| Mailing Fax Number | 2109719077 |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | DR. SANJAY KUMAR (DIRECTOR) |
| Authorized Official Telephone | 2109105550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | L2392 | TX | Ambulatory Health Care Facilities |
| Street Address |
9002 CULEBRA RD SUITE 104 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-2873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528025541 | Victor Octavio Diaz De Leon Jr. | Pediatrics | 9002 Culebra Rd, Suite 100, San Antonio, TX 78251-2873 | 2006-04-26 |
| 1215535729 | Ayana Roots | Behavior Technician | 9002 Culebra Rd, San Antonio, TX 78251-2873 | 2020-10-16 |
| 1205200227 | Laura Danielle Smith | Physician Assistant | 9002 Culebra Rd, #100, San Antonio, TX 78251-2873 | 2015-11-16 |
| 1487024279 | Golden Eagle | Nurse Practitioner | 9002 Culebra Rd, #100, San Antonio, TX 78251-2873 | 2015-10-06 |
| 1487841342 | Stella Koretsky | Family Medicine | 9002 Culebra Rd, Suite 105, San Antonio, TX 78251-2873 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030666 | Magenta Health, Inc | Clinic/Center | 3922 Wiseman Blvd Bldg 1, San Antonio, TX 78251-1668 | 2020-07-09 |
| 1750846135 | Crestview Health Pllc | Clinic/Center | 3619 Ivory Crk, San Antonio, TX 78258-1621 | 2019-02-09 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1033601299 | Osteopathic Care and Education Pllc | Clinic/Center | 8301 Broadway St Ste 401, San Antonio, TX 78209-2067 | 2018-06-04 |
| 1942713128 | Daughters of Charity Services of San Antonio | Clinic/Center | 7607 Somerset Rd, San Antonio, TX 78211-3752 | 2017-11-10 |
| 1649798554 | Womens Comprehensive Clinic for Internal Medicine Pllc | Clinic/Center | 1611 N Alamo St Ste 2, San Antonio, TX 78215-1381 | 2017-08-31 |
| 1194247247 | Cigna Onsite Health LLC | Clinic/Center | 3302 N Ellison Dr, San Antonio, TX 78251-4773 | 2017-07-11 |
| 1316470131 | Abmr Medical, Pllc | Clinic/Center | 8302 W Hausman Rd Apt 1026, San Antonio, TX 78249-3759 | 2017-04-08 |
| 1265965164 | Allcare Medical, Pllc | Clinic/Center | 8302 W Hausman Rd, 1026, San Antonio, TX 78249-3702 | 2017-04-06 |
| 1265984801 | Shaenfield Vision Source LLC | Clinic/Center | 7915 W 1604 N, Ste 118, San Antonio, TX 78254-9997 | 2016-10-31 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
Please comment or provide details below to improve the information on SHIVAM MEDICAL GROUP PA.
| 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.