OrganizationActive
Vintage Lithotripsy, LLC
NPI 1689100893 · Ambulatory Surgical Clinic/Center · San Antonio, TX
Provider details
- NPI number
- 1689100893
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lacey Dinh, Revenue Cycle Manager(520) 323-8732
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5150 Broadway St
San Antonio, TX 32304-5710
Phone: (520) 323-8732
Fax: (520) 547-1865
Street-level locationGet directions
Mailing address
6339 E Speedway Blvd
Tucson, AZ 85710-1147
Registry dates
- Enumerated
- 2017-05-08
- Last updated
- 2017-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.