Sergio Enrique Venegas, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02896 Issued in TX

Practice address

3851 Roger Brooke Dr
Fort Sam Houston
San Antonio, TX 78234-4501

Phone

(512) 581-8828

NPI assigned

Mar 31, 2008

Sex

Male

Sole proprietor

No

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.

• Winnie Community Hospital, L.L.C.

  • Emergency Medicine Physician
  • Winnie, TX
  • NPI 1548395213

  TX

  Medicare reassignment NPD
• Winnie Community Hospital, LLC

  • Critical Access Hospital
  • Winnie, TX
  • NPI 1295781227

  TX

  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  TX

  Medicare reassignment
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  TX

  Medicare reassignment
• Palacios Community Medical Center

  • Critical Access Hospital
  • Palacios, TX
  • NPI 1780786699

  TX

  Medicare reassignment
• Third Coast Emergency Physicians Southwest PA

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1497793475

  TX

  Medicare reassignment
• Palacios Community Medical Center

  • Rural Health Clinic/Center
  • Palacios, TX
  • NPI 1942773874
  NPD
• Thompson Outpatient Clinic, LLC

  • Family Medicine Physician
  • Winnie, TX
  • NPI 1407961048
  NPD
• Winnie Community Hospital, L.L.C.

  • Primary Care Nurse Practitioner
  • Vidor, TX
  • NPI 1376937003

  Physician Assistant

  NPD
• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: svenegas@wcrclnd.securechart.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2008.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1083886006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DRIVE",
            "address_2": "FORT SAM HOUSTON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "512-581-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "FORT SAM HOUSTON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "512-581-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "SERGIO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Venegas
• Jose Alfredo Venegas Jr., MD
• Julian Venegas
• Nicholas Emmanuel Venegas
• Roman Gabriel Venegas, LCSW
• Yvonne Garcia Venegas, LCSW
• Beatrice Venet Salgado
• Venkat Srinivasan, MD, PA
• Hasi Venkatachalam, M.D.
• Nalini B. Venkataraman, COTA

• All providers in San Antonio, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.