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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHEAST PEDIATRIC ASSOCIATES PA
NPI 1902994080
Pediatrics in San Antonio, TX

Active since October 11, 2006CLIA 45D0945468 · Waiver
300 E SONTERRA BLVD, STE 320, SAN ANTONIO, TX 78258(210) 619-2710(210) 402-2868 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Apr 3, 2026 (2 updates tracked since 2026).

About Northeast Pediatric Associates Pa NPPES

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

NORTHEAST PEDIATRIC ASSOCIATES PA (NPI 1902994080) is a healthcare organization registered as a pediatrics in San Antonio, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Isham Walker Pauli, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1902994080
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTHEAST PEDIATRIC ASSOCIATES PA
Location Address300 E SONTERRA BLVD, STE 320San Antonio, TX 78258-3972
Mailing Address300 E. Sonterra Blvd, Ste 320San Antonio, TX 78258-3972 · (210) 619-2710 · Fax (210) 402-2868
Phone(210) 619-2710
Fax(210) 402-2868
Organization SubpartNo
Authorized OfficialIsham Walker PauliPresident/ceo · (210) 619-2710
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1902994080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
300 E SONTERRA BLVD, San Antonio, TX 78258
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 45D0945468

Synergy Healthcare Associates PLLC Dba Northeast Pediatric Associates PA · San Antonio, TX
Active · expires May 3, 2028
CLIA Number45D0945468
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorAmanda C. Carpenter
Laboratory Phone(210) 657-0220
Laboratory LocationSynergy Healthcare Associates PLLC Dba Northeast Pediatric Associates PA300 E Sonterra Blvd, Ste 320, San Antonio, TX 78258
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 13

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

DR. PETER JULIO GONZALEZ MD
Pediatrics
300 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Bexar County (210) 633-6234
ANJELICA MOLINA
Behavior Technician
300 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Bexar County (210) 253-7771
BARBARA GUARRIELLO PT, DPT
Physical Therapist
300 E SONTERRA BLVD, SUITE 210
SAN ANTONIO, TX 78258
Bexar County (210) 494-4500
BROCK MICHAEL STRATTON D.C.
Chiropractor
300 E SONTERRA BLVD, SUITE 410
SAN ANTONIO, TX 78258
Bexar County (210) 837-8244
DR. STEVEN EUGENE WALKER MD
Internal Medicine
300 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Bexar County (855) 425-1055
CUONG NGUYEN DPT
Physical Therapist (Orthopedic)
300 E SONTERRA BLVD, 201
SAN ANTONIO, TX 78258
Bexar County (210) 494-4500
PHYSICAL THERAPY CONSULTANTS, LLC
Physical Therapist
300 E SONTERRA BLVD, SUITE 210
SAN ANTONIO, TX 78258
Bexar County (210) 403-2098
MR. JUSTIN CODY BYERS MSPT
Physical Therapist
300 E SONTERRA BLVD, SUITE 210
SAN ANTONIO, TX 78258
Bexar County (210) 403-2098

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 Northeast Pediatric Associates PA's NPI number?

The NPI number for Northeast Pediatric Associates PA is 1902994080. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Northeast Pediatric Associates PA located?

Northeast Pediatric Associates PA is located at 300 E Sonterra Blvd Ste 320, San Antonio, TX 78258. The listed phone number is (210) 619-2710.

What is Northeast Pediatric Associates PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Northeast Pediatric Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0945468) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Pediatric Associates PA was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.