Individual provider Active NPI

Rosa Del Carmen Garcia, PA-C, RD

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1023476918
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09995 Issued in TX
Practice address
5140 N 10TH St
McAllen, TX 78504-2834
Phone
(956) 972-1600
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT83620 TX
Physician Assistant 363A00000X PA09995 TX Primary

Addresses

Primary practice location

5140 N 10TH St
McAllen, TX 78504-2834

Mailing address

5140 N 10TH St
McAllen, TX 78504-2834
Phone (956) 972-1600

Other names 1

  • Miss Rosa Del Carmen Rodriguez Former name

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
I20160316000226 TX Practitioner - Physician Assistant 7517263676 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DT83620TXMDRegistered Dietitian
PA09995TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Valley Medical Clinic PA CurrentSince Feb 16, 2016 Accepting new patients

Locations

5140 N 10th St
McAllen, TX 78504
Phone (956) 605-2983

Organizations & group practices 2

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": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1023476918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042834",
            "telephone_number": "956-972-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042834",
            "telephone_number": "956-972-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROSA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83620",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "RODRIGUEZ",
            "middle_name": "DEL CARMEN",
            "prefix": "MISS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.