CENTROMED SOUTH PARK MEDICAL CLINIC
NPI 1538264429
Clinic/Center - Federally Qualified Health Center (FQHC) in San Antonio, TX
NPI Status: Active since September 14, 2006
Contact Information
6315 S ZARZAMORA ST
SAN ANTONIO, TX
ZIP 78211
Phone: (210) 977-7910
Fax: (210) 924-2165
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 45D0054325
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-27-2025
About CENTROMED SOUTH PARK MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Centromed South Park Medical 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 1538264429 assigned on September 2006. The practitioner's primary taxonomy code is 261QF0400X with license number H76HA00124 (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 South Park Medical Clinic. The authorized official of this NPI record is Mr. Chuck Walzel Mba, Cpa (Chief Financial Officer)
- NPI
- 1538264429
- Provider Legal Name
- EL CENTRO DEL BARRIO, INC.
- Other Organization Name
- CENTROMED SOUTH PARK MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211
- Location Phone
- (210) 977-7910
- Location Fax
- (210) 924-2165
- Mailing Address
- 3750 COMMERCIAL AVE SAN ANTONIO, TX 78221
- Mailing Phone
- (210) 334-3700
- Mailing Fax
- (210) 924-2165
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2006
- Last Update Date
- 10-11-2019
- Code Navigator
A primary care provider (PCP) like Centromed South Park Medical 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.
- H76HA00124
- License State
- 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
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - 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
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - 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
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - 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
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Gold VALUE - HMO
- Standard Silver - EPO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- 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
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - 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
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
- Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - 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 |
|---|---|---|---|
| 120980102 | MEDICAID (05) | TX | |
| 00MT08 | OTHER (01) | TX | GROUP MEDICARE |
| 120980103 | MEDICAID (05) | TX | |
| 120980105 | MEDICAID (05) | TX | |
| 120980101 | 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
- 45D0054325
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- August 28, 2023
- Certificate Expiration Date
- August 27, 2025
- Laboratory Director
- NORMA G. PARRA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Centromed South Park Medical 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 SOUTH PARK MEDICAL 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 | 5 | 3 | 8 | 2 | 6 | 4 | 4 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 4 | 6 | 8 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 4 + 6 + 8 + 4 + 4 + 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 1538264429 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 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831238708 | LUIS P VILLANUEVA PHARMACIST Individual | Pharmacist | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 924-9254 |
| 1376769968 | MR. ELOY J. FLORES LCSW Individual | Social Worker (Clinical) | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 924-9254 |
| 1265682371 | ESTHER TERRONES LMSW Individual | Social Worker | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 977-1900 |
| 1003225855 | JORDAN GALLO JACOBS PA-C Individual | Physician Assistant | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 977-1900 |
| 1245762657 | ANDREA RENEE KEPHART LCSW Individual | Social Worker (Clinical) | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1912927997 | DR. NORMA PARRA M.D. Individual | Family Medicine | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1730103920 | LINDA MARTIN M.D. Individual | Pediatrics | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1366738015 | MISS KRYSTLE NICOLE DE LA ROSA NP-C Individual | Nurse Practitioner (Family) | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1013937234 | DR. ERNESTO PARRA M.D. Individual | Family Medicine | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1972568160 | DR. HILDA M RIVERA-SANTIAGO M.D. Individual | Pediatrics | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1871830281 | ISAMARIE LORA-ALCANTARA MD Individual | Obstetrics & Gynecology | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1588074561 | DANIEL ALEJANDRO ESCOBAR JIMENEZ M.D Individual | Obstetrics & Gynecology | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1497342943 | MS. ANASTASIA GARNET TUNSTALL FERNANDEZ FNP-C Individual | Nurse Practitioner (Family) | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1750961819 | DANIELLE HANSON FNP-C Individual | Nurse Practitioner (Family) | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1699157495 | SAMANTHA DE LOS ANGELES GONZALEZ RAMOS MD Individual | Obstetrics & Gynecology | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-0000 |
| 1750492690 | AYSUN ALAGOZ M.D. Individual | General Practice | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1306193628 | CRISTINE GOMEZ HERNANDEZ FNP Individual | Nurse Practitioner (Family) | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1235690231 | CAROLINA PERALES CALVO Individual | Physician Assistant | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
| 1134709025 | ALVARO SALDANA DO Individual | Pediatrics | 6315 S ZARZAMORA ST SAN ANTONIO, TX 78211 (210) 922-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538264429, enumerated in the NPI registry as an "organization" on September 14, 2006
The provider is located at 6315 S Zarzamora St San Antonio, Tx 78211 and the phone number is (210) 977-7910
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with 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 make sure your health plan is currently accepted.
The provider's CLIA number is 45D0054325 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued 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..
This NPI record was last updated on September 14, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.