Individual provider Active NPI

Damian Xavier Garza, PA

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1043209018
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06176 Issued in TX
Practice address
11675 Jollyville Rd Ste 207
Austin, TX 78759-4105
Phone
(512) 856-1000
Fax
(512) 856-4040
NPI assigned
Oct 20, 2005
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 PA52088 CA
Physician Assistant 363A00000X PA1569 NV
Physician Assistant 363A00000X PA06176 TX Primary

Addresses

Primary practice location

11675 Jollyville Rd Ste 207
Austin, TX 78759-4105

Mailing address

11675 Jollyville Rd Ste 207
Austin, TX 78759-4105
Phone (512) 856-1000

Other practice location 1

1701 N US Highway 281
Marble Falls, TX 78654-4311
Phone (512) 856-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150126001458 CA Practitioner - Physician Assistant 2163746983 Reassigns benefits to 1 organization
I20150126001519 NV Practitioner - Physician Assistant 2163746983 Reassigns benefits to 1 organization
I20190813003681 TX Practitioner - Physician Assistant 2163746983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joel H Hurt MD PLLCGroup PAC ID 2163842295, 15 clinicians

Practice addresses (Care Compare)

11675 Jollyville Rd
Suite 207
Austin, TX 78759-4105
Phone (512) 856-1000

1502 Blue Ridge Dr
Suite 201
Georgetown, TX 78626-1002
Phone (512) 856-1000

1701 N US Hwy 281
Marble Falls, TX 78654-4311
Phone (512) 856-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA52088CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp Physician Assistant CurrentSince Jan 15, 2015 Accepting new patients

Locations

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065

Organizations & group practices 3

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 1

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1043209018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594105",
            "telephone_number": "512-856-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594105",
            "telephone_number": "512-856-1000",
            "fax_number": "512-856-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N US Highway 281",
            "address_purpose": "LOCATION",
            "city": "Marble Falls",
            "state": "TX",
            "postal_code": "786544311",
            "country_code": "US",
            "telephone_number": "512-856-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "DAMIAN",
        "middle_name": "XAVIER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52088",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1569",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.