Karla Joanna Gracia, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15286 Issued in TX

Practice address

3303 Rogers Rd Ste 130
San Antonio, TX 78251-3688

Phone

(210) 520-2224

NPI assigned

Jan 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• Nick S Aguilar MD PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1255501714
  Medicare reassignment

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1205587201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 WORTH PKWY APT 4312",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROGERS RD STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513688",
            "telephone_number": "210-520-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "KARLA",
        "middle_name": "JOANNA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graceland Psychiatric and Neuromodulation Center PLLC
• Graceland Psychiatry Solutions PLLC
• Camila Beatriz Gracia, LMFT
• Christina Marie Gracia, LPC
• Jaylin Gracia
• Mary G Gracia
• Graciela Moreno, M.D., P.a.
• Pamela Grady, LVN
• Taquisha Lavette Grady, LVN
• Kerry Mulvey Graebe, M.D.

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.