SAN ANTONIO VA CBOC
NPI 1447294103
Clinic/Center - VA in San Antonio, TX

NPI Status: Active since June 15, 2006

Contact Information

7909 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX
ZIP 78229
Phone: (615) 355-3451

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 45D2135758
  • CLIA Cert. Type: Other - DETOX/RTC-SUD
  • CLIA Exp. Date: 08-27-2027

About SAN ANTONIO VA CBOC

This page provides the complete NPI Profile along with additional information for San Antonio Va Cboc, a provider established in San Antonio, Texas operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1447294103 assigned on June 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is San Antonio Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1447294103
Provider Legal Name
SAN ANTONIO VAMC
Other Organization Name
SAN ANTONIO VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
7909 FREDERICKSBURG RD STE 100 SAN ANTONIO, TX 78229
Location Phone
(615) 355-3451
Mailing Address
PO BOX 94546 CLEVELAND, OH 44101
Mailing Phone
(615) 355-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2006
Last Update Date
03-29-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2135758
Facility Type
Other - DETOX/RTC-SUD
Certificate Effective Date
August 28, 2025
Certificate Expiration Date
August 27, 2027
Laboratory Director
JACQUILYN N. LEATH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Antonio Va Cboc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447294103, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 4 + 9 + 8 + 1 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1447294103.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
7909 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
7909 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Internal Medicine
7909 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
7909 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Licensed Vocational Nurse
7909 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Licensed Vocational Nurse
7909 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447294103, enumerated as an "organization" on June 15, 2006.

The provider is located at 7909 FREDERICKSBURG RD STE 100 SAN ANTONIO, TX 78229 and the phone number is (615) 355-3451.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.