Black Diamond Med Spa
NPI 1932585965ActiveOrganization· Nurse Practitioner, Family· San Antonio, TX
Nurse Practitioner, Family in San Antonio, Texas, registered in NPPES in July 2015. The authorized official on file is Jonas Crafts, Manager.
Overview
| NPI | 1932585965 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2015 |
| Last updated in NPPES | Jul 31, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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