Individual provider Active NPI

Carolina Gomez-Salinas, PA-C

  • Physician Assistant
  • Laredo, TX
National Provider Identifier
1215637871
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16581 Issued in TX
Practice address
7215 McPherson Rd
Laredo, TX 78041-6554
Phone
(956) 608-4500
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 PA16581 TX Primary

Addresses

Primary practice location

7215 McPherson Rd
Laredo, TX 78041-6554

Mailing address

2512 Mickelson
Laredo, TX 78045-8647
Phone (956) 489-4686

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
I20230616003328 TX Practitioner - Physician Assistant 6507224961 Reassigns benefits to 1 organization

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
Clinica San Jose PLLCGroup PAC ID 9436690666, 2 clinicians

Practice addresses (Care Compare)

6423 McPherson Rd
Suite 13
Laredo, TX 78041-6144
Phone (956) 452-1457

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: carolina.gomezsalinas@415054778073092.direct.elationemr.com

Organizations & group practices 1

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1215637871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 MICKELSON",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458647",
            "telephone_number": "956-489-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416554",
            "telephone_number": "956-608-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-SALINAS",
        "first_name": "CAROLINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.