MODUPEOLA ADEDEJI (NPI# 1336137678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336137678 |
| Entity Type | Organization |
| Organization Name | MODUPEOLA ADEDEJI |
| Other Organization Name | LA PAZ COMMUNITY HEALTH CARE CENTER, INC. |
| Practice Address |
530 San Pedro Ave San Antonio TX 78212-5006 |
| Practice Telephone | 2106975700 |
| Practice Fax Number | 2105589032 |
| Mailing Telephone | 2106975700 |
| Mailing Fax Number | 2105589032 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | MR. ADEDIRAN ADEDEJI (CEO) |
| Authorized Official Telephone | 2106975700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 021375301 | 05 |
| Other Name | Type Code |
|---|---|
| La Paz Community Health Care Center, Inc. | Other Name - Individual/Organization |
| Street Address |
530 SAN PEDRO AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013366707 | Christian Alejandro Aldrete | Physician Assistant | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2016-06-03 |
| 1649647983 | Shebah Dental, Pllc | Dentist | 530 San Pedro Ave, Suite 126, San Antonio, TX 78212-5007 | 2015-08-21 |
| 1356752281 | Aziz Tejani | Internal Medicine | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2014-05-14 |
| 1972942738 | Steven David Ramos | Internal Medicine | 530 San Pedro Ave, San Antonio, TX 78212 | 2013-06-14 |
| 1659644128 | Donna Michelle Loukas | Counselor | 530 San Pedro Ave, #110, San Antonio, TX 78212-5006 | 2012-02-14 |
| 1003184698 | Elizabeth Marie Villarreal | Counselor | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2011-12-09 |
| 1760615892 | Diane Leigh Frei | Counselor | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2009-08-24 |
| 1063648277 | Swapna Ghattamaneni | Internal Medicine | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2009-06-02 |
| 1356596985 | Makima N Patterson | Counselor | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2008-11-24 |
| 1720234552 | Hazel Summers Colvin IIi | Counselor | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935476 | A Work of Heart Therapy, Pllc | Clinic/Center | 10650 Culebra Rd # 104-174, San Antonio, TX 78251-4949 | 2020-09-03 |
| 1265993547 | Leslie Edwards Ma Lpc Pllc | Clinic/Center | 17806 Ih 10 W Ste 300, San Antonio, TX 78257-8222 | 2019-03-28 |
| 1033677372 | Empowering You Counseling Services, LLC | Clinic/Center | 2008 Nw Military Hwy Ste 3, San Antonio, TX 78213-2130 | 2019-03-05 |
| 1154866945 | Bariatric Counseling Center of San Antonio, LLC | Clinic/Center | 9618 Huebner Rd Ste 320, San Antonio, TX 78240-1777 | 2017-01-03 |
| 1508257346 | Christina Wei,phd,rn,pmhnp-bc,pllc | Clinic/Center | 4242 Woodcock Dr Ste 201, San Antonio, TX 78228-1325 | 2015-02-16 |
| 1821279779 | Eating Disorder Center At San Antonio | Clinic/Center | 515 Busby Dr, San Antonio, TX 78209-1116 | 2007-11-20 |
| 1346433398 | United Black and Brown | Clinic/Center | 648 Delmar St, San Antonio, TX 78210-2466 | 2007-08-23 |
| 1578685277 | Recovery Behavioral Health of San Antonio LLC | Clinic/Center | 10515 Gulfdale St, Suite 111, San Antonio, TX 78216-3667 | 2007-04-04 |
| 1982753448 | Our Lady of The Lake University | Clinic/Center | 590 N General Mcmullen Dr, 3, San Antonio, TX 78228-6205 | 2007-01-10 |
| 1679685481 | Avalon Social Services Inc | Clinic/Center | 1731 N Comal St, San Antonio, TX 78258 | 2006-08-31 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on MODUPEOLA ADEDEJI.
| 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.