Individual provider Active NPI

Rosa Linda Gonzalez, P.A

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1013255397
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07827 Issued in TX
Practice address
10807 Pern Betl Rd Ste 300
San Antonio, TX 78217-3144
Phone
(210) 245-7862
Fax
(210) 245-7951
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07827 TX Primary

Addresses

Primary practice location

10807 Pern Betl Rd Ste 300
San Antonio, TX 78217-3144

Mailing address

10807 Pern Betl Rd Ste 300
San Antonio, TX 78217-3144
Phone (210) 245-7862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130425000511 TX Practitioner - Physician Assistant 8820234537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Abregunda-Gonzalez Mending Minds Psychiatry PLLCGroup PAC ID 1153715156, 2 clinicians
Insight Mental Wellness PAGroup PAC ID 5496094039, 18 clinicians

Practice addresses (Care Compare)

10600 N 25TH St
McAllen, TX 78504-6323
Phone (714) 356-5709

10807 Perrin Beitel Rd
Suite 300
San Antonio, TX 78217-3144
Phone (210) 245-7862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07827TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medvon Medical Clinic Professional Corporation PastSince Jul 12, 2024 Accepting new patients
Jose E Igoa MD PA Physician Assistant PastSince May 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rgonzalez@jose-e-igoa-md-p-a.direct.kno2fy.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1013255397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 PERN BETL RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173144",
            "telephone_number": "210-245-7862",
            "fax_number": "210-245-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 PERN BETL RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173144",
            "telephone_number": "210-245-7862",
            "fax_number": "210-245-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROSA",
        "middle_name": "LINDA",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.