CARITAS FAMILY MEDICINE PA
NPI 1215042189
Family Medicine in Live Oak, TX

Active since August 20, 2006CLIA 45D0501907 · Waiver
11901 TOEPPERWEIN RD, SUITE 1201, LIVE OAK, TX 78233(210) 650-9066(210) 650-9067 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Caritas Family Medicine Pa NPPES

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

CARITAS FAMILY MEDICINE PA (NPI 1215042189) is a healthcare organization registered as a family medicine in Live Oak, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Jeffrey Alexander Cannon, President, as its authorized official.

NPPES Registry Identity

NPI1215042189
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARITAS FAMILY MEDICINE PA
Location Address11901 TOEPPERWEIN RD, SUITE 1201Live Oak, TX 78233-3161
Mailing Address11901 Toepperwein Rd, Suite 1201Live Oak, TX 78233-3161 · (210) 650-9066 · Fax (210) 650-9067
Fax(210) 650-9067
Organization SubpartNo
Authorized OfficialJeffrey Alexander CannonPresident · (210) 650-9066
Enumeration DateAugust 20, 2006
Last NPPES UpdateApril 5, 2017
NPI 1215042189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · L8002
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11901 TOEPPERWEIN RD, Live Oak, TX 78233

Other Identifiers 9

Medicare UPINB26839TX
Medicare UPINI15399TX
Medicare ID-Type Unspecified8C2060TX
OtherP00178727TX · Railroad Medicare
Medicaid112162601TX
Other010025319TX · Railroad Medicare
Other8P1541TX · Blue Cross
Medicare ID-Type Unspecified8C2061TX
Other8P1540TX · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 45D0501907

Caritas Family Medicine PA · San Antonio, TX
Active · expires Aug 22, 2027
CLIA Number45D0501907
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorJeffrey A. Cannon
Laboratory Phone(210) 650-9066
Laboratory LocationCaritas Family Medicine PA11901 Toepperwein Rd #1201, San Antonio, TX 78233
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Family Medicine
11901 TOEPPERWEIN RD, SUITE 1201
LIVE OAK, TX 78233
Family Medicine
11901 TOEPPERWEIN RD, SUITE1201
LIVE OAK, TX 78233
Dentist (General Practice)
11901 TOEPPERWEIN RD, SUITE 1104
LIVE OAK, TX 78233
Internal Medicine (Pulmonary Disease)
11901 TOEPPERWEIN RD, SUITE 1401
LIVE OAK, TX 78233
Internal Medicine (Critical Care Medicine)
11901 TOEPPERWEIN RD, SUITE 1401
LIVE OAK, TX 78233
Clinic/Center (Sleep Disorder Diagnostic)
11901 TOEPPERWEIN RD, STE 1401
LIVE OAK, TX 78233
Dentist (Endodontics)
11901 TOEPPERWEIN RD, 902
LIVE OAK, TX 78233
Occupational Therapist
11901 TOEPPERWEIN RD, SUITE 1106
LIVE OAK, TX 78233

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 Caritas Family Medicine PA's NPI number?

The NPI number for Caritas Family Medicine PA is 1215042189. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Caritas Family Medicine PA located?

Caritas Family Medicine PA is located at 11901 Toepperwein Rd Suite 1201, Live Oak, TX 78233. The listed phone number is (210) 650-9066.

What is Caritas Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Caritas Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0501907) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Caritas Family Medicine PA was last updated on April 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.