GONZABA MEDICAL GROUP
NPI 1184964694
Durable Medical Equipment & Medical Supplies in San Antonio, TX

NPI Status: Active since February 20, 2013

Contact Information

902 BANDERA RD
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 921-3800

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 45D0910458
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-13-2025

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 1184964694 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 12 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
1184964694
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
902 BANDERA RD SAN ANTONIO, TX 78228
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
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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

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.

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

WILLIAM GONZABA MD

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(210) 921-3800

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
45D0910458
Facility Type
Physician Office
Certificate Effective Date
July 14, 2023
Certificate Expiration Date
July 13, 2025
Laboratory Director
DR. ALEJANDRO D. LERMA
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.

Reviews for GONZABA MEDICAL GROUP

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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.
1184964694
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641868618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 8 + 6 + 8 + 6 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1184964694 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922121706 JOY D BROWN PT
Individual
Physical Therapist902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4513
1932323599MR. IRWIN ALIVO TANEDO
Individual
Physical Therapy Assistant902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4513
1679892566DR. ALEJANDRO LERMA M.D.
Individual
Family Medicine902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503
1225003122 ANDREW P. ORTEGA M.D.
Individual
Family Medicine902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503
1679506521 GINA M ESPARZA MD
Individual
Family Medicine902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503
1306141312 MELISSA DELAFUENTE GONZALEZ NP
Individual
Nurse Practitioner (Family)902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503
1720342124 MARIA ADRIANA SUSTAYTA PA
Individual
Physician Assistant902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503
1740721265 MARIA MARGARITA LOZANO NP
Individual
Nurse Practitioner (Family)902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503
1457914897 CELSO VILLAGRAN FNP
Individual
Nurse Practitioner (Family)902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503
1407229644 MELISSA MARIE SEDILLO FNP
Individual
Nurse Practitioner (Family)902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 921-3800
1801061643DR. FRANCISCA CECILIA GUSHIKEN MD
Individual
Internal Medicine902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 921-3800
1881954345DR. ERICK FERNANDO ALVAREZ MOSQUEIRA MD
Individual
Family Medicine902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 921-3800
1972561264DR. WILLIAM ROBERT WILSON M.D.
Individual
Family Medicine902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 921-3800
1336544485MR. SCOTT ERIC HUDNALL RN, MSN, FNP-C
Individual
Nurse Practitioner (Family)902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503
1689959264 JULLY M SANCHEZ MD
Individual
Internal Medicine902 BANDERA RD
SAN ANTONIO, TX 78228
(210) 431-4503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184964694, enumerated in the NPI registry as an "organization" on February 20, 2013

The provider is located at 902 Bandera Rd San Antonio, Tx 78228 and the phone number is (210) 921-3800

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 45D0910458 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued 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..

This NPI record was last updated on February 20, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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