Gustavo Garza, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA12767 Issued in TX

Practice address

191 E Price Rd
Brownsville, TX 78521-3527

Phone

(956) 548-7400

Fax

(956) 621-3689

NPI assigned

May 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care TX PAGroup PAC ID 4789950247, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gustavo.garza@centerwell.eclinicaldirectplus.com
• Direct secure messaging: gustavo.garza.p1@direct.bchc.nextgenshare.com

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.

• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1861959298

  TX

  Medicare reassignment Care Compare group
• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1689491581
  NPD
• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1871372565
  NPD
• Brownsville Community Health Clinic Corporation

  • Federally Qualified Health Center (FQHC)
  • Brownsville, TX
  • NPI 1740266444
  NPD (past)
• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1447717871
  NPD (past)

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

• Columbia Valley Healthcare System, L.P.

  • General Acute Care Hospital
  • Brownsville, TX
  • NPI 1043267701

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1033775895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400",
            "fax_number": "956-621-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400",
            "fax_number": "956-621-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "GUSTAVO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407460102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Garza
• Diego Garza, APRN, FNP-BC
• Erica Garza
• Fabian Garza
• Grayeli Garza
• Ivonne Garza, DIETICIAN
• Jesus E Garza, PA
• Leo R Garza, OTR
• Lessly Garza
• Lorena Garza

• All providers in Brownsville, TX
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.