Rodolfo Guajardo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07132 Issued in TX

Practice address

2820 N Belt Line Rd Ste 100
Sunnyvale, TX 75182-9304

Phone

(972) 288-6189

Fax

(972) 698-7641

NPI assigned

Jan 12, 2011

Last updated

Mar 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rudy Guajardo Other name

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

Practice roles

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.

• Sinus & Allergy Specialists of Texas

  dba Aspire Allergy & Sinus

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1639510803
  Medicare reassignment
• Synergy Healthcare Associates, PLLC

  • Gynecology Physician
  • San Antonio, TX
  • NPI 1356584544
  Medicare reassignment
• Little Spurs Pediatric Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1780673319
  NPD (past)
• Open Arms Healthcare of Texas Inc.

  dba Medico MD

  • Family Medicine Physician
  • Irving, TX
  • NPI 1639656325
  NPD (past)
• Pedcare, PA

  dba Pediatric Clinic of Mesquite

  • Pediatrics Physician
  • Mesquite, TX
  • NPI 1417177841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1174828719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N BELT LINE RD STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829304",
            "telephone_number": "972-288-6189",
            "fax_number": "972-698-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N BELT LINE RD STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829304",
            "telephone_number": "972-288-6189",
            "fax_number": "972-698-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "RODOLFO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07132",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA07132",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUDY",
            "last_name": "GUAJARDO",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Martin Gomez, M.D.,
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• Abby Marie Grider, M.D.
• Habla Speech Therapy, PLLC
• Haley Hanks
• Omar Kareem Hariri, M.D.
• Cynthia Rae Harr, PH.D., LCSW
• Ahmed Hassan, D.O.

• Physician Assistant in Sunnyvale, TX
• Providers in Sunnyvale, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.