Active NPI
Cidia Trevino Gonzalez, PA-C
- Physician Assistant
- Harlingen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13166
- Practice address
- 614 Maco Dr
Harlingen, TX 78550-8450 - Phone
- (956) 296-7000
- Fax
- (956) 440-9801
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13166 | TX | Primary |
Addresses
Primary practice location
614 Maco Dr
Harlingen, TX 78550-8450
Mailing address
PO Box 531968
Harlingen, TX 78553-1968
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H08LX10101 | Other | TX | BCBS |
| 405022101 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2121 Peace St
Harlingen, TX 78550-8348
Phone (956) 389-4710
Hospital & facility affiliations
- VHS Harlingen Hospital Company LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.59 of 100
- Quality
- 72.49
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 68.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| University of Texas Rio Grande Valley | Past | Accepting new patients |
Locations
2121 Pease St
Harlingen, TX 78550
Phone (956) 389-1100
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303
Interoperability endpoints
- cidia.gonzalez.1@1438.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harlingen, TX
- NPI 1154618742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1043865041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 531968",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785531968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 MACO DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508450",
"telephone_number": "956-296-7000",
"fax_number": "956-440-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CIDIA",
"middle_name": "TREVINO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA13166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "H08LX10101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405022101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.