SAN ANTONIO CHILDRENS SURGICAL
NPI 1144650060
Clinic/Center - Ambulatory Surgical in San Antonio, TX

Active since November 13, 2013CLIA 45D2084755 · Waiver
8706 FREDERICKSBURG RD STE 104, SAN ANTONIO, TX 78240(210) 598-7918 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Antonio Childrens Surgical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN ANTONIO CHILDRENS SURGICAL (NPI 1144650060) is a healthcare organization registered as an ambulatory surgical in San Antonio, Texas and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144650060
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN ANTONIO CHILDRENS SURGICAL
Location Address8706 FREDERICKSBURG RD STE 104San Antonio, TX 78240-1293
Mailing Address8706 Fredericksburg Rd, Suite 104San Antonio, TX 78240-1200 · (713) 481-9500
Organization SubpartYesParent: North End Healthcare
Authorized OfficialDevin LarsenCeo · (713) 489-2198
Enumeration DateNovember 13, 2013
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1144650060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
8706 FREDERICKSBURG RD STE 104, San Antonio, TX 78240

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2084755

San Antonio Childrens Surgical · San Antonio, TX
Active · expires Sep 29, 2026
CLIA Number45D2084755
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorKetan Sukkawala
Laboratory Phone(210) 714-2488
Laboratory LocationSan Antonio Childrens Surgical8706 Fredericksburg Road, Suite 104, San Antonio, TX 78240
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
8706 FREDERICKSBURG RD STE 104
SAN ANTONIO, TX 78240
Dentist (General Practice)
8706 FREDERICKSBURG RD STE 104
SAN ANTONIO, TX 78240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Antonio Childrens Surgical's NPI number?

The NPI number for San Antonio Childrens Surgical is 1144650060. It was assigned to this organization in the NPPES registry on November 13, 2013.

Where is San Antonio Childrens Surgical located?

San Antonio Childrens Surgical is located at 8706 Fredericksburg Rd Ste 104, San Antonio, TX 78240. The listed phone number is (210) 598-7918.

What is San Antonio Childrens Surgical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does San Antonio Childrens Surgical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2084755) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does San Antonio Childrens Surgical accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list San Antonio Childrens Surgical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Antonio Childrens Surgical was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.