GONZABA MEDICAL GROUP
NPI 1619217122
Durable Medical Equipment & Medical Supplies in San Antonio, TX
NPI Status: Active since February 20, 2013
Contact Information
1303 MCCULLOUGH AVE
SUITE 170
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 921-3800
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 45D0674801
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 07-13-2027
About GONZABA MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Gonzaba Medical Group, a provider established in San Antonio, Texas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1619217122 assigned on February 2013. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Gonzaba Medical Group. The authorized official of this NPI record is William Gonzaba Md (President And Ceo)
- NPI
- 1619217122
- Provider Legal Name
- GMG HEALTH SYSTEMS ASSOCIATES, PA
- Other Organization Name
- GONZABA MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1303 MCCULLOUGH AVE SUITE 170 SAN ANTONIO, TX 78212
- Location Phone
- (210) 921-3800
- Mailing Address
- 720 PLEASANTON RD SAN ANTONIO, TX 78214
- Mailing Phone
- (210) 921-3800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2013
- Last Update Date
- 02-20-2013
- Code Navigator
Location Map
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License State
- TX
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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
- 45D0674801
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- July 14, 2025
- Certificate Expiration Date
- July 13, 2027
- Laboratory Director
- DR. WILLIAM T. GONZABA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Gonzaba Medical Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1619217122, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
SAN ANTONIO, TX 78212
SAN ANTONIO, TX 78212
SAN ANTONIO, TX 78212
SAN ANTONIO, TX 78212
SAN ANTONIO, TX 78212
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619217122, enumerated as an "organization" on February 20, 2013.
The provider is located at 1303 MCCULLOUGH AVE SUITE 170 SAN ANTONIO, TX 78212 and the phone number is (210) 921-3800.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
