Community Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2253 Issued in TX

Legal business name

COMMUNITY FAMILY MEDICINE PA

Practice address

1616 Callaghan Rd
San Antonio, TX 78228

Phone

(210) 435-1218

Fax

(210) 435-3162

NPI assigned

Oct 13, 2006

Last updated

Jul 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Javier C Bocanegra, MDNPI 1003837758

Title

MD Lowner

Phone

(210) 435-1218

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javier C Bocanegra, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1003837758
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Marie Juarez, ATC, LAT

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1952813735
  Medicare reassignment Care Compare group
• Karen Maravi

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1093578759
  Medicare reassignment Care Compare group
• Carlos Juan Mendez Jr., PA-C

  • Physician Assistant
  • Jbsa Lackland, TX
  • NPI 1831404201
  Medicare reassignment Care Compare group
• Sandra Bernal, PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1083288971
  Medicare reassignment
• Julissa Flores, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1154619112
  Medicare reassignment
• Gabriela Maria Gonzalez, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1457815797
  Medicare reassignment
• Clarissa Cuellar Richard, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1740657816
  Medicare reassignment
• Leighan C Brown, PA-C

  • Medical Physician Assistant
  • Boerne, TX
  • NPI 1801222195
  NPD (past)
• Juan Carlos Garza, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1669449971
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1295825990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78228",
            "telephone_number": "210-435-1218",
            "fax_number": "210-435-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78228",
            "telephone_number": "210-435-1218",
            "fax_number": "210-435-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "BOCANEGRA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD LOWNER",
        "authorized_official_telephone_number": "210-435-1218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121539402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Alliance for Traffic Safety, Inc.
• Community Assistance Healthcare Services LLC
• Community Birth Group
• Community Clinic, Inc
• Community Connections Iss Services LLC
• Community First Health Plans, Inc.
• Community First Hospice Care of San Antonio, Inc.
• Community Guidance Center (Child Guidance Center)
• Community Healthcare LLC Dba Wellcare Pharmacy
• Community Independence Solutions

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.