Individual provider Active NPI

Juana Gaytan

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1154917797
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2112 Aldine Meadows Rd
Houston, TX 77032-3102
Phone
(713) 773-0803
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

2112 Aldine Meadows Rd
Houston, TX 77032-3102

Mailing address

7001 Corporate Dr Ste 120
Houston, TX 77036-5113
Phone (713) 773-0803

Other practice location 1

7001 Corporate Dr Ste 120
Houston, TX 77036-5113
Phone (713) 773-0803

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
I20220926001950 TX Practitioner - Physician Assistant 2668858895 Reassigns benefits to 2 organizations

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
Spring Branch Community Health CenterGroup PAC ID 3072501154, 14 clinicians

Practice addresses (Care Compare)

7001 Corporate Dr
Suite 120
Houston, TX 77036-5113
Phone (713) 773-0803

7777 Westgreen Blvd
Cypress, TX 77433-0190
Phone (713) 462-6565

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Oct 3, 2022 Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Oct 3, 2022 Accepting new patients
Spring Branch Community Health Center CurrentSince Jan 21, 2026 Accepting new patients
Spring Branch Community Health Center Current Accepting new patients
Spring Branch Community Health Center CurrentSince Jan 21, 2026 Accepting new patients

Locations

7777 Westgreen Blvd
Cypress, TX 77433
Phone (713) 462-6545

13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 333-7273

3000 Aldine Mail Route Rd
Bldg C
Houston, TX 77039

2112 Aldine Meadows Rd
Houston, TX 77032

7001 Corporate Dr
Ste 120
Houston, TX 77036
Phone (713) 333-7273

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

5502 1st St
Katy, TX 77493
Phone 7134626565127

Interoperability endpoints

  • Direct secure messaging: juana.gaytan@aahc.eclinicaldirectplus.com

Organizations & group practices 5

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": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1154917797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365113",
            "telephone_number": "713-773-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 ALDINE MEADOWS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323102",
            "telephone_number": "713-773-0803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Corporate Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770365113",
            "country_code": "US",
            "telephone_number": "713-773-0803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYTAN",
        "first_name": "JUANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.