Individual provider Active NPI

Jose E. Fuentez, Jr., PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1033445333
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06480 Issued in TX
Practice address
2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009
Phone
(210) 951-9055
Fax
(210) 951-9066
NPI assigned
Oct 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA06480 TX
Physician Assistant 363A00000X PA06480 TX Primary

Addresses

Primary practice location

2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009

Mailing address

2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009
Phone (210) 951-9055

Other practice location 1

11212 State Hwy 151 Medical Plaza 1 Ste 260
San Antonio, TX 78251
Phone (210) 951-9055

Other practice location 2

189 E Austin St Ste 101
New Braunfels, TX 78130-4170
Phone (210) 951-9055

Other practice location 3

1305 Wonder World Dr Ste 100
San Marcos, TX 78666-7502
Phone (210) 951-9055

Other practice location 4

2829 Babcock Rd Ste 109
San Antonio, TX 78229-6009
Phone (210) 951-9055

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
I20091209000395 TX Practitioner - Physician Assistant 5395884043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
Suite 205
San Antonio, TX 78251-4498
Phone (310) 704-4172

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06480TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Aug 26, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 26, 2024 Accepting new patients

Locations

189 E Austin St
Ste 101
New Braunfels, TX 78130
Phone (830) 629-0002

2829 Babcock Rd
Ste 106
San Antonio, TX 78229
Phone 210951905555522

11212 State Highway 151
Ste 260
San Antonio, TX 78251
Phone (210) 504-4304

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jose.fuentez.jr.1@12711.direct.athenahealth.com
  • Direct secure messaging: jfuentez397783@christushealth.direct-ci.net

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.

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1033445333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296009",
            "telephone_number": "210-951-9055",
            "fax_number": "210-951-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296009",
            "telephone_number": "210-951-9055",
            "fax_number": "210-951-9066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11212 STATE HWY 151 MEDICAL PLAZA 1 STE 260",
            "address_purpose": "LOCATION",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 E Austin St Ste 101",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304170",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Wonder World Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667502",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2829 Babcock Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782296009",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTEZ, JR.",
        "first_name": "JOSE",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06480",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.