NPIMap

Individual provider Active NPI

Lucina B Trevino, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1003981242
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8805 Issued in TX
Practice address
505 Pleasanton Rd
San Antonio, TX 78214-1335
Phone
(210) 932-2565
Fax
(210) 932-2566
NPI assigned
Nov 22, 2006
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8805 TX Primary

Addresses

Primary practice location

505 Pleasanton Rd
San Antonio, TX 78214-1335

Mailing address

PO Box 831026
San Antonio, TX 78283
Phone (210) 433-3334

Other identifiers 1

IdentifierTypeStateIssuer
102511605MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811000422 TX Practitioner - Family Practice 1456323351 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians
Generations Visiting Practitioners LLCGroup PAC ID 6800115841, 2 clinicians

Practice addresses (Care Compare)

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954

2819 NW Loop
410 Suite a
San Antonio, TX 78230-5105
Phone (210) 598-8035

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J8805TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Visiting Practitioners LLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Lucina B Trevino M.D. Family Medicine PastSince Apr 20, 2001 Accepting new patients

Locations

7703 N Lamar Blvd
Ste 160
Austin, TX 78752
Phone (737) 240-3003

2819 NW Loop 410
Ste A
San Antonio, TX 78230
Phone (210) 422-3330

4400 NW Loop 410
Ste 115
San Antonio, TX 78229
Phone (210) 598-8035

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: l.trevino@gvp-tx.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Generations Healthcare CorporationHouston, TX, CCN 971521 Hospice Contracted Managing Employee Oct 12, 2022
Journey Hospice, LLCSan Antonio, TX, CCN 971638 Hospice Contracted Managing Employee Jul 1, 2020
Nightingale Hospice Care, Inc.San Antonio, TX, CCN 971643 Hospice Contracted Managing Employee (100%) Jun 3, 2021
CFHC No22 IncSan Antonio, TX, CCN A91625 Hospice Contracted Managing Employee
Operational/Managerial Control		 Dec 22, 2024
Dec 22, 2024
Nightingale Hospice Care of Texas, IncSan Antonio, TX, CCN A91619 Hospice Contracted Managing Employee (100%) Dec 15, 2023
Bexar HospiceSan Antonio, TX, CCN A91565 Hospice Contracted Managing Employee Oct 14, 2023
Anchored by Grace Hospice Care Inc.San Antonio, TX, CCN A91591 Hospice Contracted Managing Employee Dec 8, 2025

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1003981242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831026",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78283",
            "telephone_number": "210-433-3334",
            "fax_number": "210-932-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141335",
            "telephone_number": "210-932-2565",
            "fax_number": "210-932-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "LUCINA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102511605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.