CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC
NPI 1699841569
Clinic/Center - Federally Qualified Health Center (FQHC) in San Antonio, TX
NPI Status: Active since November 24, 2006
Contact Information
315 N SAN SABA
SUITE # 103
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 922-7000
Fax: (210) 924-1374
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 45D1036088
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 01-19-2027
About CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC
This page provides the complete NPI Profile along with additional information for Centromed Santa Rosaclinic/ryran White Clinic, a primary care provider established in San Antonio, Texas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1699841569 assigned on November 2006. The practitioner's primary taxonomy code is 261QF0400X with license number HBOCS00758-04-00 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Centromed Santa Rosaclinic/ryran White Clinic. The authorized official of this NPI record is Chuck Walzel (Vp/cfo)
- NPI
- 1699841569
- Provider Legal Name
- EL CENTRO DEL BARRIO, INC.
- Other Organization Name
- CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 315 N SAN SABA SUITE # 103 SAN ANTONIO, TX 78207
- Location Phone
- (210) 922-7000
- Location Fax
- (210) 924-1374
- Mailing Address
- 3750 COMMERCIAL AVE SAN ANTONIO, TX 78221
- Mailing Phone
- (210) 334-3700
- Mailing Fax
- (210) 924-1374
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-24-2006
- Last Update Date
- 10-25-2019
- Code Navigator
A primary care provider (PCP) like Centromed Santa Rosaclinic/ryran White Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- HBOCS00758-04-00
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | HBOCS00758-04-00 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear VALUE Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Complete VALUE Gold - HMO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120980105 | MEDICAID (05) | TX | |
| 00MT08 | OTHER (01) | TX | GROUP MEDICARE |
| 120980101 | MEDICAID (05) | TX | |
| 120980102 | MEDICAID (05) | TX | |
| 120980103 | MEDICAID (05) | TX |
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
- 45D1036088
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- January 20, 2025
- Certificate Expiration Date
- January 19, 2027
- Laboratory Director
- NORMA G. PARRA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Centromed Santa Rosaclinic/ryran White Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 8 | 4 | 1 | 5 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 16 | 4 | 2 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 6 + 4 + 2 + 5 + 1 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1699841569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JORGE SAN MARTIN OD
Optometrist
315 N SAN SABA
SUITE 100
SAN ANTONIO, TX
ZIP 78207
KRISTIE A. CHISCANO M.D.
Colon & Rectal Surgery
315 N SAN SABA
SUITE 1240
SAN ANTONIO, TX
ZIP 78207
MR. RICARDO ALFRED RIOJAS MD
Pediatrics
315 N SAN SABA
#1075
SAN ANTONIO, TX
ZIP 78207
MR. JORGE MOGYOROS GROSZ MD
Pediatrics
315 N SAN SABA
#1075
SAN ANTONIO, TX
ZIP 78207
DR. JOSEPH DAVID PENDON M.D.
Emergency Medicine
(Undersea and Hyperbaric Medicine)
315 N SAN SABA
SUITE 107
SAN ANTONIO, TX
ZIP 78207
MRS. M ANTONIETA GONZALEZ MD
Pediatrics
315 N SAN SABA
#1075
SAN ANTONIO, TX
ZIP 78207
CUERO LAKEVIEW KIDNEY CENTER LLC
Clinic/Center
315 N SAN SABA
STE,101
SAN ANTONIO, TX
ZIP 78207
DR. NANCY D. KELLOGG MD
Pediatrics
315 N SAN SABA
SUITE 201
SAN ANTONIO, TX
ZIP 78207
MR. ROMAN SITEK MD
Pediatrics
315 N SAN SABA
#1075
SAN ANTONIO, TX
ZIP 78207
MARGARET R FINLEY MD
Internal Medicine
(Geriatric Medicine)
315 N SAN SABA
SAN ANTONIO, TX
ZIP 78207
DR. MEAZA T. BEKELE M.D.
Pediatrics
315 N SAN SABA
SUITE 1075
SAN ANTONIO, TX
ZIP 78207
DR. ANGELA CHINONYEREM AKONYE MD
Obstetrics & Gynecology
315 N SAN SABA
SUITE 1068
SAN ANTONIO, TX
ZIP 78207
SAN ANTONIO PEDIATRIC ASSOC PA
Pediatrics
315 N SAN SABA
#1075
SAN ANTONIO, TX
ZIP 78207
JAIME L MAYORAL MD PA
Colon & Rectal Surgery
315 N SAN SABA
SUITE 1240
SAN ANTONIO, TX
ZIP 78207
DR. PATRICIA MANCUSO MD
Neurological Surgery
315 N SAN SABA
SUITE1210
SAN ANTONIO, TX
ZIP 78207
DR. JASON R DAUGHTRY O.D.
Optometrist
315 N SAN SABA
SUITE 100
SAN ANTONIO, TX
ZIP 78207
DR. THOMAS ALTON TILLER DDS, MS
Dentist
(Orthodontics and Dentofacial Orthopedics)
315 N SAN SABA
STE. 202
SAN ANTONIO, TX
ZIP 78207
SANJAY MISRA M.D.
Orthopaedic Surgery
315 N SAN SABA
SUITE 1175
SAN ANTONIO, TX
ZIP 78207
JAMES L LUKEFAHR MD
Pediatrics
315 N SAN SABA
SUITE 201
SAN ANTONIO, TX
ZIP 78207
DR. ANDREW DE LA GARZA JR. DDS
Dentist
(General Practice)
315 N SAN SABA
SUITE 925
SAN ANTONIO, TX
ZIP 78207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699841569, enumerated as an "organization" on November 24, 2006.
The provider is located at 315 N SAN SABA SUITE # 103 SAN ANTONIO, TX 78207 and the phone number is (210) 922-7000.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
