Jesus Mesa Gonzalez Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04958 Issued in TX

Practice address

1510 Hanna Valley Rd
Goldthwaite, TX 76844-2533

Phone

(325) 648-2263

Fax

(325) 648-6303

NPI assigned

Sep 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

Practice roles

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.

• Anibal F Rossel MD PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1548573801
  Medicare reassignment
• Prime Physicians PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1891213633
  Medicare reassignment
• Providence Physician Associates

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1760919880
  Medicare reassignment
• Brazos Medical Center

  • Family Medicine Physician
  • Houston, TX
  • NPI 1811453293
  NPD (past)
• Mai Medical

  • Internal Medicine Physician
  • Stafford, TX
  • NPI 1972205656
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1336336288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 FM 1488 RD",
            "address_2": "STE A",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541527",
            "telephone_number": "281-356-1945",
            "fax_number": "281-356-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HANNA VALLEY RD",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768442533",
            "telephone_number": "325-648-2263",
            "fax_number": "325-648-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESUS",
        "middle_name": "MESA",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA04958",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Dowell, FNP
• Goldthwaite I Enterprises, LLC
• Goldthwaite Isd
• Goldthwaite Nursing Operations, LLC
• Goldthwaite Senior Health Center, Inc
• Luiza Gomez Grajales, LCSW
• Cody C. Graves, D.D.S.
• Thomas Cody Graves, DDS
• Holli Grebe, LCSW
• Guardian Health Systems Goldthwaite

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.