Individual provider Active NPI

Jessica Lynn Molina, M.D.

  • Pediatrics Physician
  • Windcrest, TX
National Provider Identifier
1205120359
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q0318 Issued in TX
Practice address
5542 Walzem Rd
Windcrest, TX 78218-2103
Phone
(210) 922-7000
Fax
(210) 637-2499
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q0318 TX Primary

Addresses

Primary practice location

5542 Walzem Rd
Windcrest, TX 78218-2103

Mailing address

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006002149 TX Practitioner - Pediatric Medicine 4385864719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q0318TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio, Inc. CurrentSince Jul 28, 2014 Accepting new patients
El Centro del Barrio, Inc. CurrentSince Jul 28, 2014 Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients

Locations

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

5542 Walzem Rd
Windcrest, TX 78218
Phone (210) 637-2450

Interoperability endpoints

  • Direct secure messaging: jessica.molina.p1@direct.centromed.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1205120359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-637-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182103",
            "telephone_number": "210-922-7000",
            "fax_number": "210-637-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

Verify at the official NPI Registry.