ALTA VISTA HEALTHCARE CENTER (NPI# 1366588444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366588444 |
| Entity Type | Organization |
| Organization Name | ALTA VISTA HEALTHCARE CENTER |
| Practice Address |
1123 N Main Ave Suite 100 San Antonio TX 78212-4740 |
| Mailing Address |
Po Box 600324 Dallas TX 75360-0324 |
| Practice Telephone | 2108226323 |
| Practice Fax Number | 2108226356 |
| Mailing Telephone | 2108226323 |
| Mailing Fax Number | 2108226356 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PHIL BOHART (COOWNER) |
| Authorized Official Telephone | 2108226323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
15980 | TX | Behavioral Health & Social Service Providers |
| X | 225100000X | Physical Therapist | 1038107 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1123 N MAIN AVE SUITE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951385 | Robert Peter Wunderlich | Podiatrist | 1123 N Main Ave, # 201, San Antonio, TX 78212-4740 | 2005-06-09 |
| 1831462076 | Audrey Potts | Specialist | 1123 N Main Ave, Ste. 211, San Antonio, TX 78212-4740 | 2012-02-20 |
| 1467742247 | Caprock Home Health Services, Inc. | Home Health | 1123 N Main Ave, Suite 215, San Antonio, TX 78212-4740 | 2011-04-13 |
| 1467697508 | Caprock Home Health Services, Inc. | Home Health | 1123 N Main Ave, Suite 215, San Antonio, TX 78212-4740 | 2008-12-03 |
| 1932372414 | Richard R Urdiales | Physical Therapist | 1123 N Main Ave, Ste 211, San Antonio, TX 78212-4738 | 2008-04-07 |
| 1184812315 | Robert P Wunderlich Dpm Pa | Podiatrist | 1123 N Main Ave, #201, San Antonio, TX 78212-4740 | 2007-10-12 |
| 1356545941 | Sandra D Vale | Psychiatry & Neurology | 1123 N Main Ave, San Antonio, TX 78212-4740 | 2007-06-14 |
| 1508871989 | Alta Vista Healthcare, Lp | Physical Therapist | 1123 N Main Ave, Suite 100, San Antonio, TX 78212-4740 | 2006-07-31 |
| 1447214119 | Sakdc Davita Dialysis Partners Lp | Clinic/Center | 1123 N Main Ave, Suite 150, San Antonio, TX 78212-4738 | 2006-04-12 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738311 | Jade Hodges | Counselor | 1402 Brook Run, San Antonio, TX 78232-5133 | 2020-10-20 |
| 1821696063 | Brent Crowson | Counselor | 23602 Enchanted Path, San Antonio, TX 78260-4323 | 2020-10-10 |
| 1730787961 | Alexander W Casserly | Counselor | 3442 Wellsprings Dr, San Antonio, TX 78230-2512 | 2020-10-09 |
| 1578170270 | Magno Solutions LLC | Counselor | 10422 Castello Cyn, San Antonio, TX 78254-4644 | 2020-09-26 |
| 1073120184 | Stacie Dziuk | Counselor | 12139 Bowie Ml, San Antonio, TX 78253-5879 | 2020-09-23 |
| 1508471293 | Sandra Jean Bar-yadin | Counselor | 12000 Network Blvd Ste 300, San Antonio, TX 78249-3344 | 2020-09-10 |
| 1316551039 | Mateo David Ayala, Texas Counseling | Counselor | 9818 Village Briar, San Antonio, TX 78250-5718 | 2020-09-01 |
| 1841801412 | Ijeoma Chinwe Too-chiobi | Counselor | 11467 Huebner Rd, San Antonio, TX 78230-1595 | 2020-08-16 |
| 1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
| 1851900468 | Vanessa Montemayor Perez | Counselor | 330 Pennystone Ave, San Antonio, TX 78223-1825 | 2020-07-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on ALTA VISTA HEALTHCARE CENTER.
| 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.