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Black-Pearl Medical LLC

Point of Service in San Antonio, TX · enumerated 2025 · authorized official Juliet Gatobu, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629963780

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Registry record

Entity type Organization (Type 2)
Legal business name Black-Pearl Medical LLC
Practice address 12407 Walthampton St, San Antonio, TX, 78216
Enumeration date Jun 10, 2025
Last updated in NPPES Sep 9, 2025

Taxonomy & classification

305S00000X Point of Service Managed Care Organizations Primary

Authorized official

Name Juliet Gatobu
Title Owner

Other identifiers

Identifier Type State Issuer
1629963780 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Black-Pearl Medical LLC?
The NPI for Black-Pearl Medical LLC is 1629963780, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Black-Pearl Medical LLC?
NPPES lists Juliet Gatobu (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-09.