Individual provider Active NPI

Evelyn Matudan, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1073229985
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5222 De Zavala Rd Ste 304
San Antonio, TX 78249-1799
Phone
(210) 562-3125
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5222 De Zavala Rd Ste 304
San Antonio, TX 78249-1799

Mailing address

5222 De Zavala Rd Ste 304
San Antonio, TX 78249-1799
Phone (210) 562-3125

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
I20230817002843 TX Practitioner - Physician Assistant 2365804614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texan Family Clinic PLLCGroup PAC ID 4587922513, 3 clinicians

Practice addresses (Care Compare)

5222 De Zavala Rd
Suite 304
San Antonio, TX 78249-1799
Phone (210) 562-3125

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ematudan@tfcp-tx.direct.office.nextgen.com

Organizations & group practices 1

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1073229985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 DE ZAVALA RD STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491799",
            "telephone_number": "210-562-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 DE ZAVALA RD STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491799",
            "telephone_number": "210-562-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUDAN",
        "first_name": "EVELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.