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: 07-13-2025
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 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, 2023
- Certificate Expiration Date
- July 13, 2025
- 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 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 | 1 | 9 | 2 | 1 | 7 | 1 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 4 | 1 | 14 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 4 + 1 + 1 + 4 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1619217122 is valid because the calculated check digit 2 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386645372 | DR. VICTOR IVAN LYDAY M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 1303 MCCULLOUGH AVE SUITE 361 SAN ANTONIO, TX 78212 (210) 224-2639 |
| 1285626853 | DR. JOSE F CAVAZOS M.D. Individual | Family Medicine (Adult Medicine) | 1303 MCCULLOUGH AVE 533 SAN ANTONIO, TX 78212 (210) 226-5229 |
| 1265428577 | DR. ERIC SCHAFFER MD Individual | Plastic Surgery | 1303 MCCULLOUGH AVE STE 363 SAN ANTONIO, TX 78212 (210) 227-3223 |
| 1104815075 | MARK A ISAEFF M.D. Individual | Internal Medicine | 1303 MCCULLOUGH AVE SUITE 542 SAN ANTONIO, TX 78212 (210) 572-4431 |
| 1083603252 | DR. DANIEL A CALDERON M.D. Individual | Obstetrics & Gynecology | 1303 MCCULLOUGH AVE SUITE GL70 SAN ANTONIO, TX 78212 (210) 226-9705 |
| 1760471825 | DR. ORLANDO J SURIS M.D. Individual | Obstetrics & Gynecology | 1303 MCCULLOUGH AVE SUITE GL70 SAN ANTONIO, TX 78212 (210) 226-9705 |
| 1386633535 | DR. DOMINGO PADILLA, JR M.D. Individual | Specialist | 1303 MCCULLOUGH AVE SUITE GL70 SAN ANTONIO, TX 78212 (210) 226-9705 |
| 1821070863 | AMBER GRAPEVINE MS, RD Individual | Dietitian, Registered | 1303 MCCULLOUGH AVE SUITE GL 70 SAN ANTONIO, TX 78212 (210) 226-9705 |
| 1457334328 | DR. JAMES HAROLD VERNIER M.D. Individual | Anesthesiology | 1303 MCCULLOUGH AVE SUITE 229 SAN ANTONIO, TX 78212 (210) 477-9699 |
| 1346223260 | DR. HAROLD G. FELTER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1303 MCCULLOUGH AVE SUITE 300 SAN ANTONIO, TX 78212 (210) 271-7221 |
| 1275516700 | JOHN J DELEON JR. M.D. Individual | Urology | 1303 MCCULLOUGH AVE SUITE 166 SAN ANTONIO, TX 78212 (210) 225-4444 |
| 1013993096 | DR. ROBERT JAY MAGNON M.D. Individual | Dermatology | 1303 MCCULLOUGH AVE SUITE 525 SAN ANTONIO, TX 78212 (210) 225-2769 |
| 1427038819 | MICHELLE PATIN FOOTE M.D. Individual | Obstetrics & Gynecology | 1303 MCCULLOUGH AVE GL70 SAN ANTONIO, TX 78212 (210) 226-9705 |
| 1255301149 | DR. JEANNIE ALLYSON BAQUERO M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1303 MCCULLOUGH AVE SUITE 374 SAN ANTONIO, TX 78212 (210) 223-5483 |
| 1750355004 | MR. JOHN D LEDBETTER D.O. Individual | Family Medicine | 1303 MCCULLOUGH AVE STE 135 SAN ANTONIO, TX 78212 (210) 227-9214 |
| 1760428619 | NEERA BHATIA MD Individual | Obstetrics & Gynecology | 1303 MCCULLOUGH AVE #237 SAN ANTONIO, TX 78212 (210) 222-2694 |
| 1750310934 | DR. JOHN E. ETLINGER M.D. Individual | Surgery | 1303 MCCULLOUGH AVE SUITE 235 SAN ANTONIO, TX 78212 (210) 229-9290 |
| 1477583367 | DR. MARVIN SAM BELASCO M.D. Individual | Specialist | 1303 MCCULLOUGH AVE 125 SAN ANTONIO, TX 78212 (210) 223-5443 |
| 1366472250 | O'NEILL & ASSOCIATES P.A. Organization | Specialist | 1303 MCCULLOUGH AVE 125 SAN ANTONIO, TX 78212 (210) 223-5543 |
| 1285665711 | DONALD LENOIR MD Individual | Anesthesiology | 1303 MCCULLOUGH AVE SUITE 229 SAN ANTONIO, TX 78212 (210) 477-9699 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619217122, enumerated in the NPI registry 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
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider's CLIA number is 45D0674801 for a "ambulatory surgery center" 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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